Individual provider Active NPI

Renee Margarita Perocier, M.D.

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1780634675
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN566 Issued in FL
Practice address
4545 Pleasant Hill Rd Ste 112
Kissimmee, FL 34759-3400
Phone
(786) 374-1637
Fax
(407) 749-6135
NPI assigned
May 11, 2006
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301083263 MI
Family Medicine Physician 207Q00000X ACN566 FL Primary
Obstetrics & Gynecology Physician 207V00000X 2839 PR

Addresses

Primary practice location

4545 Pleasant Hill Rd Ste 112
Kissimmee, FL 34759-3400

Mailing address

4545 Pleasant Hill Rd Ste 112
Kissimmee, FL 34759-3400
Phone (786) 374-1637

Other identifiers 1

IdentifierTypeStateIssuer
015078300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150930000363 FL Practitioner - Family Practice 6204725872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4545 Pleasant Hill Rd
Suite 112
Kissimmee, FL 34759-3400
Phone (407) 201-7041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2839PRMDOrthodontics and Dentofacial Orthopedic Dentist
ACN566FLMDFamily Medicine Physician
4301083263MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Margarita Perocier, M.D Family Medicine CurrentSince Nov 25, 2022 Accepting new patients
Grupo Obstetrico Ginecologico de Mayaguez Obstetrics & Gynecology Past Accepting new patients

Locations

4545 Pleasant Hill Rd
Ste 112
Kissimmee, FL 34759
Phone (407) 201-7041

4693 Old Pleasant Hill Rd
Ste A
Poinciana, FL 34759
Phone (407) 223-6915

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAHJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAHJCD/Endpoint/IAHJCD

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1780634675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 PLEASANT HILL RD STE 112",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593400",
            "telephone_number": "786-374-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 PLEASANT HILL RD STE 112",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593400",
            "telephone_number": "786-374-1637",
            "fax_number": "407-749-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROCIER",
        "first_name": "RENEE",
        "middle_name": "MARGARITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301083263",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN566",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "2839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015078300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.