Individual provider Active NPI

John Charles Perez, MD

  • Specialist
  • Christiansted, VI
National Provider Identifier
1790882140
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
Beeston Hill Medical Center
Suite #7
Christiansted, VI 00820
Phone
(340) 719-0001
Fax
(340) 719-0009
NPI assigned
Sep 20, 2006
Last updated
Mar 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary
Nephrology Physician 207RN0300X VI950 VI

Addresses

Primary practice location

Beeston Hill Medical Center
Suite #7
Christiansted, VI 00820

Mailing address

PO Box 734
Christiansted, VI 00821-0734
Phone (340) 719-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20041214000855 VI Practitioner - NephrologyPractitioner - Internal Medicine 7113984808 Reassigns benefits to 1 organization
Practice locations: Christiansted, VI; St Croix, VI

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Urgent Care LLCGroup PAC ID 4385074160, 8 clinicians

Practice addresses (Care Compare)

6040 Castle Coakley
Christiansted, VI 00820-5343
Phone 3402772096122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as individual
Quality
57.91
Improvement activities
40
Cost
94.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VI950VIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Urgent Care LLC CurrentSince Mar 2, 2020 Accepting new patients

Locations

6040 Castle Coakley
Christiansted, VI 00820
Phone (305) 281-0684

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20519/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.perez.1@20519.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1790882140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008210734",
            "telephone_number": "340-719-0001",
            "fax_number": "340-719-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEESTON HILL MEDICAL CENTER",
            "address_2": "SUITE #7",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-719-0001",
            "fax_number": "340-719-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VI",
            "license": "VI950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.