Active NPI
Kenny Perez, M.D.
- Psychiatry Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME127531
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME127531 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Psychiatry LLC | Psychiatry | Current | Accepting new patients |
| Ep Facility LLC | Psychiatry | Current | Accepting new patients |
| Cheaha Regional Mental Health Mental Retardation Board, Inc. | Current | 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
- kenny.perez.1@18528.direct.athenahealth.com
- 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.
-
- Psychiatry Physician
- Miami, FL
- NPI 1902346513
-
- Psychiatry Physician
- Miami, FL
- NPI 1326592254
-
- Psychiatry Physician
- Miami, FL
- NPI 1275399933
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sylacauga, AL
- NPI 1275687451
-
- Clinical Medical Laboratory
- Plantation, FL
- NPI 1407346604
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.