Mario Perez, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K4526 Issued in TX

Practice address

2600 Lakeview Dr
Suite D
Rockport, TX 78382-3552

Phone

(361) 790-5155

Fax

(361) 790-5156

NPI assigned

Jul 7, 2006

Last updated

Apr 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Diabetes and Cardiovascular of Rockport, PLLC

  • General Practice Physician
  • Rockport, TX
  • NPI 1033509732

  Family Medicine

  Medicare reassignment NPD Authorized official
• Mario Perez DO PA

  dba Poteet Family Health Center

  • Rural Health Clinic/Center
  • Poteet, TX
  • NPI 1801825740

  Family Medicine

  NPD (past) Authorized official
• Timberland Medical Group

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1528061157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1841222890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKEVIEW DR",
            "address_2": "SUITE D",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823552",
            "telephone_number": "361-790-5155",
            "fax_number": "361-790-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LAKEVIEW DR",
            "address_2": "SUITE D",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823552",
            "telephone_number": "361-790-5155",
            "fax_number": "361-790-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EZ458",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Parmenter
• Alexandria Sage Patrick
• Paul M Hamilton PHD PC
• Tristian Pena
• Peninsula Physical Therapy Limited Partnership
• Anelia Petkova, M.D.
• Ricardo Pimentel Jr., PTA
• Powell Fire & Safety (Powell Medical Supply)
• Powell Safety Incorporated (Coastal Care EMS)
• Leona N Predom, LCSW

• Family Medicine Physician in Rockport, TX
• Providers in Rockport, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.