Individual provider Active NPI

Luis Ariel Perez, D.O

  • Internal Medicine Physician
  • North Miami, FL
National Provider Identifier
1790164010
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS14571 Issued in FL
Practice address
1801 NE 123Rd St Ste 417
North Miami, FL 33181-2885
Phone
(786) 534-4907
Fax
(786) 534-4951
NPI assigned
May 19, 2015
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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 OS14571 FL Primary

Addresses

Primary practice location

1801 NE 123Rd St Ste 417
North Miami, FL 33181-2885

Mailing address

1801 NE 123Rd St Ste 417
North Miami, FL 33181-2885
Phone (305) 962-2811

Other practice location 1

777 E 25th St Ste 308
Hialeah, FL 33013-3824
Phone (786) 567-5400

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
I20170724003571 FL Practitioner - Internal Medicine 6800174913 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Touro Un Col of Osteopathic Medicine, New York, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Dade Internal Medicine and Associates LLCGroup PAC ID 5395114334, 2 clinicians

Practice addresses (Care Compare)

1801 NE 123Rd St
Suite 417
North Miami, FL 33181-2885
Phone (786) 534-4907

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince May 14, 2017 Accepting new patients
MD Now Medical Centers Inc CurrentSince May 14, 2017 Accepting new patients
Dade Internal Medicine and Associates LLC Internal Medicine CurrentSince Nov 19, 2021 Accepting new patients

Locations

415 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 457-4333

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1801 NE 123rd St
Ste 417
North Miami, FL 33181
Phone (305) 899-2511

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

Interoperability endpoints

  • Direct secure messaging: luis.perez.1@33152.direct.athenahealth.com

Organizations & group practices 4

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1790164010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NE 123RD ST STE 417",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812885",
            "telephone_number": "305-962-2811",
            "fax_number": "786-534-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NE 123RD ST STE 417",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812885",
            "telephone_number": "786-534-4907",
            "fax_number": "786-534-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 E 25th St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133824",
            "country_code": "US",
            "telephone_number": "786-567-5400",
            "fax_number": "786-567-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LUIS",
        "middle_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2023-10-20",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS14571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.