Active NPI
Cesar Eliud Escareno Perez, M.D.
- Surgery Physician
- Boston, MA
National Provider Identifier
1770789992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036136270
- Practice address
- Brigham and Women's Hospital Surgery
75 Francis Street
Boston, MA 02115 - Phone
- (617) 732-6861
- NPI assigned
- Jun 25, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 231848 | MA | |
| Surgery Physician | 208600000X | 036136270 | IL | Primary |
Addresses
Primary practice location
Brigham and Women's Hospital Surgery
75 Francis Street
Boston, MA 02115
Mailing address
240 East Huron St
Ste 1-200
Chicago, IL 60611
Phone (312) 503-7975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036136270 | IL | MD | Surgery Physician |
| 231848 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGaw Medical Center of Northwestern University | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Chicago, IL
- NPI 1043630098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1770789992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 EAST HURON ST",
"address_2": "STE 1-200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-503-7975",
"fax_number": "312-503-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRIGHAM AND WOMEN'S HOSPITAL SURGERY",
"address_2": "75 FRANCIS STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCARENO PEREZ",
"first_name": "CESAR",
"middle_name": "ELIUD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "231848",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036136270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.