NPIMap

Individual provider Active NPI

Sergio Andres Perez Beracasa, M.D.

  • Interventional Cardiology Physician
  • Montgomery, AL
National Provider Identifier
1861832321
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
42682 Issued in AL
Practice address
273 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone
(334) 280-1500
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 42682 AL Primary

Addresses

Primary practice location

273 Winton M Blount Loop
Montgomery, AL 36117-3507

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715001491 AL Practitioner - Cardiovascular Disease (Cardiology) 7618379439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

645 McQueen Smith Rd N
Suite 108
Prattville, AL 36066-7269
Phone (334) 280-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
65.12
Promoting interoperability
100
Improvement activities
40
Cost
71.71

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42682ALMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Cardiology Consultants CurrentSince Jun 1, 2021 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Apr 1, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Montgomery Cardiovascular Associates, P.C. CurrentSince May 31, 2024 Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

2119 E South Blvd
Montgomery, AL 36116
Phone (334) 747-7070

273 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 280-1511

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

645 McQueen Smith Rd N
Ste 108
Prattville, AL 36066
Phone (334) 262-9191

199 Highway 231 N
Troy, AL 36081
Phone (334) 246-4774

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23210/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sergio.perez.beracasa.1@11015.direct.athenahealth.com
  • Direct secure messaging: sergio.perez.beracasa.2@11015.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1861832321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-280-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ BERACASA",
        "first_name": "SERGIO",
        "middle_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "42682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.