Active NPI
Steven Perez, D.O.
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R2291
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z203821 | Other | AZ | MEDICARE |
| R2291 | Other | AZ | TRAINING PERMIT |
| 278834 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| R2291 | AZ | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RHG of Arizona, PC | Family Medicine | Current | Accepting new patients |
| Heritage Technologies, LLC | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1013744218
-
dba Desert Grove Family Medical
- Family Medicine Physician
- Mesa, AZ
- NPI 1093764938
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.