NPIMap

Individual provider Active NPI

Jose Rafael Perez, MD

  • Emergency Medicine Physician
  • Worcester, MA
National Provider Identifier
1740756352
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
292542 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 421-1401
Fax
(508) 421-1490
NPI assigned
Oct 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 292542 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (774) 445-2645

Other practice location 1

917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 948-1286

Other practice location 2

Villa Verde, A-11 calle A
Guaynabo, PR 00966
Phone (787) 948-1286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, MA, NH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230206001583 VT Practitioner - Emergency Medicine 5092187773 Reassigns benefits to 1 organization
I20230417000336 MA Practitioner - Emergency Medicine 5092187773 Reassigns benefits to 3 organizations
I20240401002056 NH Practitioner - Emergency Medicine 5092187773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medical Associates-EbnhcGroup PAC ID 6103814371, 239 clinicians
Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800

243 Elm St
Claremont, NH 03743-4921
Phone (603) 542-7771

25 Ridgewood Rd
Springfield, VT 05156-3050
Phone (780) 281-9593

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

  • Valley Regional Hospital Hospital, Claremont, NH, CCN 301308
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Boston Medical Center Hospital, Boston, MA, CCN 220031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhealth Corporation CurrentSince Mar 27, 2023 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Mar 27, 2023 Accepting new patients
Medical Associates of Ebnhc Current Accepting new patients

Locations

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

Interoperability endpoints

  • Direct secure messaging: vrhjperez@yourcarecommunity.org
  • Direct secure messaging: jperez33734@direct.neighborhealth.masshiway.net

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775260800000",
    "number": "1740756352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "774-445-2645",
            "fax_number": "508-334-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-421-1401",
            "fax_number": "508-421-1490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Ave Tito Castro",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007164717",
            "country_code": "US",
            "telephone_number": "787-948-1286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Villa Verde, A-11 calle A",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00966",
            "country_code": "US",
            "telephone_number": "787-948-1286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "292542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.