Active NPI
Joseph Ruben Perea, M.D.
- Internal Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NM 80-79
- Practice address
- 4300 San Mateo Blvd NE
Suite B270
Albuquerque, NM 87110-1229 - Phone
- (505) 883-7525
- Fax
- (505) 883-7535
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | NM 80-79 | NM | Primary |
Addresses
Primary practice location
4300 San Mateo Blvd NE
Suite B270
Albuquerque, NM 87110-1229
Mailing address
4300 San Mateo Blvd NE
Suite B270
Albuquerque, NM 87110-1229
Phone (505) 883-7525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00022848 | Medicaid | NM | |
| 00NM007852 | Other | NM | BCBS OF NEW MEXICO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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 Washington School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (505) 727-2000
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM 80-79 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Lovelace Health System, LLC | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
Interoperability endpoints
- jperea10285@ahs.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Clinic/Center
- Albuquerque, NM
- NPI 1821343286
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
dba Lovelace Westside Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Lovelace Westside Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861544918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SAN MATEO BLVD NE",
"address_2": "SUITE B270",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101229",
"telephone_number": "505-883-7525",
"fax_number": "505-883-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 SAN MATEO BLVD NE",
"address_2": "SUITE B270",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101229",
"telephone_number": "505-883-7525",
"fax_number": "505-883-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "JOSEPH",
"middle_name": "RUBEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "NM 80-79",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00022848",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEW MEXICO",
"identifier": "00NM007852",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.