Individual provider Active NPI

Steven Perez, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1730528688
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2291 Issued in AZ
Practice address
555 N 18TH St Ste 300
Phoenix, AZ 85006-3759
Phone
(602) 507-4457
Fax
(602) 507-4459
NPI assigned
Jun 24, 2013
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2291 AZ Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X R2291 AZ

Addresses

Primary practice location

555 N 18TH St Ste 300
Phoenix, AZ 85006-3759

Mailing address

4801 E Washington St Ste 200
Phoenix, AZ 85034-2019
Phone (602) 797-7099

Other identifiers 3

IdentifierTypeStateIssuer
Z203821OtherAZMEDICARE
R2291OtherAZTRAINING PERMIT
278834MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170731002422 AZ Practitioner - Family PracticePractitioner - Geriatric Medicine 4284905860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RHG of Arizona PCGroup PAC ID 9436689445, 18 clinicians

Practice addresses (Care Compare)

1492 S Mill Ave
Suite 101
Tempe, AZ 85281-5660
Phone (480) 257-2740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2291AZMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RHG of Arizona, PC Family Medicine CurrentSince Dec 23, 2024 Accepting new patients
Heritage Technologies, LLC Family Medicine CurrentSince May 1, 2023 Accepting new patients

Locations

5656 S Power Rd
Ste 126
Gilbert, AZ 85295

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1492 S Mill Ave
Ste 101
Tempe, AZ 85281
Phone (480) 257-2740

Interoperability endpoints

  • Direct secure messaging: steven.perez.1@32866.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1730528688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E WASHINGTON ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342019",
            "telephone_number": "602-797-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N 18TH ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063759",
            "telephone_number": "602-507-4457",
            "fax_number": "602-507-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "STEVEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R2291",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "R2291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z203821",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R2291",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278834",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.