Individual provider Active NPI

Rolando Perez, P.A.

  • Medical Physician Assistant
  • Uvalde, TX
National Provider Identifier
1851375224
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03257 Issued in TX
Practice address
200 Evans St
Uvalde, TX 78801-5142
Phone
(830) 278-7105
Fax
(830) 278-1836
NPI assigned
Nov 30, 2005
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA03257 TX Primary

Addresses

Primary practice location

200 Evans St
Uvalde, TX 78801-5142

Mailing address

908 S. Evans St
Uvalde, TX 78801-6034
Phone (830) 278-5604

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000345 TX Practitioner - Physician Assistant 9739212531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Evans St
Uvalde, TX 78801-5142
Phone (830) 278-5604

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03257TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Development, Inc. CurrentSince May 9, 2010 Accepting new patients
Community Health Development, Inc. CurrentSince May 9, 2010 Accepting new patients

Locations

200 Evans St
Uvalde, TX 78801
Phone (830) 278-7105

908 Evans St
Uvalde, TX 78801
Phone (830) 278-3765

908 Evans St
Ste A
Uvalde, TX 78801
Phone 8302785604 ext. 3100

Interoperability endpoints

  • Direct secure messaging: roland.perez.p2@direct.chdi.nextgenshare.com

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.

Hospital & facility affiliations 2

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1851375224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S. EVANS ST",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016034",
            "telephone_number": "830-278-5604",
            "fax_number": "830-278-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EVANS ST",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788015142",
            "telephone_number": "830-278-7105",
            "fax_number": "830-278-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROLANDO",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.