Individual provider Active NPI

Kenny Perez, M.D.

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1730524307
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME127531 Issued in FL
Practice address
2000 S Dixie Hwy Ste 110
Miami, FL 33133
Phone
(786) 273-7395
Fax
(844) 258-5606
NPI assigned
May 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME127531 FL
Psychiatry Physician 2084P0800X ME127531 FL Primary

Addresses

Primary practice location

2000 S Dixie Hwy Ste 110
Miami, FL 33133

Mailing address

2000 S Dixie Hwy Ste 110
Miami, FL 33133-2441
Phone (786) 273-7395

Other practice location 1

1695 NW 9th Ave
Room 1404A
Miami, FL 33136-1409
Phone (305) 355-7103

Other practice location 2

299 Alhambra Cir Ste 418A
Coral Gables, FL 33134-5117
Phone (786) 273-7395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108000609 FL Practitioner - Psychiatry 5890080949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Psychiatry LLCGroup PAC ID 1254696297, 27 clinicians

Practice addresses (Care Compare)

8200 NW 41St St
Suite 300
Doral, FL 33166-6204
Phone (305) 908-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME127531FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Psychiatry LLC Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
Ep Facility LLC Psychiatry CurrentSince Feb 12, 2024 Accepting new patients
Cheaha Regional Mental Health Mental Retardation Board, Inc. CurrentSince May 1, 2020 Accepting new patients
The Miami Center for the Family, LLC Psychiatry Past Accepting new patients
Liberty Labs LLC Past Accepting new patients

Locations

8200 NW 41st St
Ste 300
Doral, FL 33166

3250 Mary St
Ste 300
Miami, FL 33133
Phone (305) 900-6878

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kenny.perez.1@18528.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18528/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730524307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S DIXIE HWY STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332441",
            "telephone_number": "786-273-7395",
            "fax_number": "844-258-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DIXIE HWY STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "786-273-7395",
            "fax_number": "844-258-5606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 NW 9th Ave",
            "address_2": "Room 1404A",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361409",
            "country_code": "US",
            "telephone_number": "305-355-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "299 Alhambra Cir Ste 418A",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331345117",
            "country_code": "US",
            "telephone_number": "786-273-7395",
            "fax_number": "844-258-5606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KENNY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME127531",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME127531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.