NPIMap

Individual provider Active NPI

Sergio J. Perez, M.D.

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1780681585
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79712 Issued in FL
Practice address
3501 Cortez Rd W
Bradenton, FL 34210-3196
Phone
(941) 752-2700
Fax
(941) 752-2730
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME79712 FL Primary

Addresses

Primary practice location

3501 Cortez Rd W
Bradenton, FL 34210-3196

Mailing address

7005 Cortez Rd W
Bradenton, FL 34210-2509
Phone (941) 752-2700

Other identifiers 1

IdentifierTypeStateIssuer
280624000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SERGIO.PEREZ@hca4.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000775 FL Practitioner - Internal Medicine 9335101039

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

PO Box
Suite 12493
Miami, FL 33101-2493

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79712FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare America Medical Group, Inc. Internal Medicine Past Accepting new patients
Public Health Trust of Miami Dade County Florida Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sergio.perez@hca4.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1780681585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102509",
            "telephone_number": "941-752-2700",
            "fax_number": "941-752-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103196",
            "telephone_number": "941-752-2700",
            "fax_number": "941-752-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "SERGIO",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280624000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SERGIO.PEREZ@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3501 Cortez Rd W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342103196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.