Individual provider Active NPI

Carmen Josefa Perez, MD

  • Internal Medicine Physician
  • Kingwood, TX
National Provider Identifier
1811950140
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J7626 Issued in TX
Practice address
22710 Professional Dr
Suite 203
Kingwood, TX 77339-6008
Phone
(281) 312-8531
Fax
(281) 312-8532
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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 J7626 TX Primary

Addresses

Primary practice location

22710 Professional Dr
Suite 203
Kingwood, TX 77339-6008

Mailing address

22710 Professional Dr
Suite 203
Kingwood, TX 77339-6008
Phone (281) 312-8531

Other identifiers 1

IdentifierTypeStateIssuer
116771003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100826001128 TX Practitioner - Internal Medicine 3274657234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

22698 Professional Dr
Suite 100
Humble, TX 77339-5701
Phone (281) 312-8530

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J7626TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physicians Association, PLLC Internal Medicine CurrentSince Jun 1, 1998 Accepting new patients
Millennium Physicians Association PLLC CurrentSince Jun 1, 1998 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

22999 Highway 59 N
Ste 264
Kingwood, TX 77339
Phone (281) 312-6457

22710 Professional Dr
Ste 203
Kingwood, TX 77339
Phone (281) 312-8530

22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545

22698 Professional Dr
Ste 100
Kingwood, TX 77339
Phone (281) 312-8530

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

9319 Pinecroft Dr
Ste 210
The Woodlands, TX 77380
Phone (281) 312-8569

Interoperability endpoints

  • Direct secure messaging: carmen.perez.1@8042.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: carmen.perez.p1@direct.mphcc.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1811950140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR",
            "address_2": "SUITE 203",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396008",
            "telephone_number": "281-312-8531",
            "fax_number": "281-312-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR",
            "address_2": "SUITE 203",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396008",
            "telephone_number": "281-312-8531",
            "fax_number": "281-312-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CARMEN",
        "middle_name": "JOSEFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J7626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116771003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.