Individual provider Active NPI

Jonathan David Perez, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Tyler, TX
National Provider Identifier
1801162029
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
S5466 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701-2036
Phone
(903) 606-5864
NPI assigned
Apr 2, 2012
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S5466 TX
Internal Medicine Physician 207R00000X 4301101436 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X S5466 TX Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 078451 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MT208166 PA

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701-2036

Mailing address

777 Hemlock Street
Macon, GA 31201
Phone (478) 633-1000

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-9100

Other practice location 2

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Other identifiers 1

IdentifierTypeStateIssuer
1M9724OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170906003145 GA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 3870725781 Reassigns benefits to 1 organization
I20200406003216 VA Practitioner - Internal Medicine 3870725781 Reassigns benefits to 1 organization
I20200729000342 TX Practitioner - Internal Medicine 3870725781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Intensivists PLLCGroup PAC ID 4688715691, 67 clinicians

Practice addresses (Care Compare)

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101436MIMDInternal Medicine Physician
S5466TXMDInternal Medicine Physician
078451GAMDCritical Care Medicine (Internal Medicine) Physician
MT208166PAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Intensivists PLLC Internal Medicine Current Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Feb 15, 2021 Accepting new patients
St. Francis Physician Practices LLC Internal Medicine Current Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 14, 2020 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Critical Care Medicine CurrentSince Feb 29, 2020 Accepting new patients
St Francis Physician Practices LLC Internal Medicine CurrentSince Jan 14, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 15, 2021 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Organizations & group practices 9

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 1

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1801162029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK STREET",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-633-1000",
            "fax_number": "478-633-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-606-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-1000",
            "fax_number": "478-633-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S5466",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101436",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "S5466",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "078451",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MT208166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1M9724",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.