Individual provider Active NPI

Ismael Pavel Polo Perez, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1821502162
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T6678 Issued in TX
Practice address
1 Baylor PLZ
Houston, TX 77030-3411
Phone
(713) 798-4951
NPI assigned
Nov 22, 2017
Last updated
Mar 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X T6678 TX
Internal Medicine Physician 207R00000X ME161829 FL
Internal Medicine Physician 207R00000X T6678 TX Primary
Hospitalist Physician 208M00000X T6678 TX
Surgical Assistant 246ZC0007X 16-469 TX

Addresses

Primary practice location

1 Baylor PLZ
Houston, TX 77030-3411

Mailing address

7150 Indian Creek Dr Apt 202
Miami, FL 33141-3002
Phone (713) 391-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, NC3 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
I20221010001189 TX Practitioner - Hospitalist 2769868066 Reassigns benefits to 2 organizations
I20241211000401 FL Practitioner - Internal Medicine 2769868066
I20250109001200 NC Practitioner - Internal Medicine 2769868066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161829FLMDInternal Medicine Physician
T6678TXMDHospitalist Physician
16-469TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc Hospitalist CurrentSince Jul 1, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

2101 Pease St
Ste 200
Harlingen, TX 78550
Phone (956) 296-1491

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 3

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": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1821502162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 INDIAN CREEK DR APT 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331413002",
            "telephone_number": "713-391-7800",
            "fax_number": "678-487-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO PEREZ",
        "first_name": "ISMAEL",
        "middle_name": "PAVEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-22",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "T6678",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME161829",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6678",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "T6678",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "16-469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.