Individual provider Active NPI

Hector Perez, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1851415426
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1850751 Issued in NY
Practice address
581 W 161St St
New York, NY 10032-6102
Phone
(212) 928-8888
Fax
(646) 964-5522
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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 1850751 NY Primary

Addresses

Primary practice location

581 W 161St St
New York, NY 10032-6102

Mailing address

581 W 161St St
New York, NY 10032-6102
Phone (212) 928-8888

Other identifiers 1

IdentifierTypeStateIssuer
01533980MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050121000425 NY Practitioner - Internal Medicine 0042269573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audubon Primary Care Medicine PLLCGroup PAC ID 5890920656, 6 clinicians
181St Street Medical PCGroup PAC ID 8022242130, 8 clinicians

Practice addresses (Care Compare)

325 Audubon Ave
New York, NY 10033-4204

521 W 181St St
New York, NY 10033-5102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1850751NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Audubon Primary Care Medicine PLLC Internal Medicine CurrentSince Dec 14, 2016 Accepting new patients
CCN General Medicine PLLC Internal Medicine CurrentSince Jan 10, 2017 Accepting new patients
181St Street Medical P.C. Internal Medicine CurrentSince Dec 14, 2016 Accepting new patients
New York Medical and Cardiovascular Services, PC Internal Medicine Past Accepting new patients
Comprehensive Healhtcare and Medical Services PLLC Internal Medicine Past Accepting new patients

Locations

1262 Boston Rd
#2
Bronx, NY 10456
Phone (718) 569-7929

325 Audubon Ave
New York, NY 10033
Phone (718) 664-7679

521 W 181st St
New York, NY 10033
Phone (347) 756-6000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: hector.perez@cgm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJIAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1851415426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 W 161ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326102",
            "telephone_number": "212-928-8888",
            "fax_number": "646-964-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 W 161ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326102",
            "telephone_number": "212-928-8888",
            "fax_number": "646-964-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "HECTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1850751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01533980",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.