Active NPI
Carmen Josefa Perez, MD
- Internal Medicine Physician
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J7626
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116771003 | Medicaid | TX |
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
Enrollment records 1
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
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
- HCA Houston Healthcare Kingwood
- Memorial Hermann Northeast Hospital
- Houston Methodist the Woodlands Hospital
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J7626 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physicians Association, PLLC | Internal Medicine | Current | Accepting new patients |
| Millennium Physicians Association PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast, PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast PLLC | Current | 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
- carmen.perez.1@8042.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1578969465
-
- Multi-Specialty Clinic/Center
- The Woodlands, TX
- NPI 1255397733
Internal Medicine
-
- Community/Retail Pharmacy
- Kingwood, TX
- NPI 1811385727
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1457167033
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- General Acute Care Hospital
- Houston, TX
- NPI 1144203662
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.