Jesus Manuel Pereira, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9101868 Issued in FL

Practice address

12423 SW 104TH LN
Miami, FL 33186-3610

Phone

(305) 301-4046

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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 FL

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00136
• FHIR API: https://app.meldrx.com/api/fhir/ez_00135

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.

• The Derm Group LLP

  • Dermatology Physician
  • Coral Gables, FL
  • NPI 1801448519
  Medicare reassignment Care Compare group
• Leavitt Medical Associates of Florida Inc

  • Dermatology Physician
  • Sebastian, FL
  • NPI 1083872535
  Medicare reassignment NPD
• Francisco Flores MD PA

  • Dermatology Physician
  • Miramar, FL
  • NPI 1033302260
  NPD
• Leavitt Medical Associates of Florida Inc

  • Dermatology Physician
  • Bay Harbor Islands, FL
  • NPI 1659513455
  NPD
• Javier Flores MD PA

  • Specialist
  • Coral Gables, FL
  • NPI 1043497878
  NPD (past)
• Leavitt Medical Associates of Florida Inc

  • Dermatology Physician
  • Miami, FL
  • NPI 1437317930
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881726032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12423 SW 104TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863610",
            "telephone_number": "305-301-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12423 SW 104TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863610",
            "telephone_number": "305-301-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "JESUS",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9101868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA 9101868",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise L Pereira, MD
• Dhana Yoselyn Pereira
• Fernanda Pereira
• Ieshy Soley Pereira, D.M.D
• Janette Pereira
• Jorge A Pereira, MD
• Julio Antonio Pereira, PTA
• Kathleen J Pereira, CRNA
• Keith Pereira, MD
• Liana Maria Pereira

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.