Marie Cecilia Perusek, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

F9943 Issued in TX

Practice address

88 Briggs Ave., Southwest Diagnostic Center
Suite 110
San Antonio, TX 78224-4000

Phone

(210) 921-0902

Fax

(210) 923-8220

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Diagnostic Radiology

Education

University of Texas Medical Branch at Galveston, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Texas Radiology Imaging CentersGroup PAC ID 0547153512, 75 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.96 of 100Reported as group

Quality

83.48

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 40)

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.

• South Texas Radiology Imaging Centers

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1396718334
  Medicare reassignment Care Compare group NPD
• South Texas Radiology Group PA

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1851368039
  Medicare reassignment NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740303171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 TIMBER GLEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782504434",
            "telephone_number": "210-647-3272",
            "fax_number": "210-647-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BRIGGS AVE., SOUTHWEST DIAGNOSTIC CENTER",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782244000",
            "telephone_number": "210-921-0902",
            "fax_number": "210-923-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUSEK",
        "first_name": "MARIE",
        "middle_name": "CECILIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F9943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personalized Prosthetics
• Angela D Persyn, PHARMD
• Blair Persyn, MS, RDN, LDN, CNSC
• Deborah Mercy Persyn, RN, IBCLC
• Lindsey R Persyn
• Muhammad Pervez
• Perya PLLC (The Nova Dentistry)
• Catherine Ann Perz, PH.D
• Elizabeth Frieda Perz, PHARMD
• Lindsey Perz

• Diagnostic Radiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.