Edward Pena Perez, MD PHD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L7107 Issued in TX

Practice address

1999 Medical Pkwy Ste a
San Marcos, TX 78666-7579

Phone

(512) 392-1411

Fax

(512) 392-1422

NPI assigned

Dec 13, 2006

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Harvard Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Specialists of San Antonio, PLLCGroup PAC ID 5193043149, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.46 of 100Reported as group

Quality

90.39

Promoting interoperability

100

Improvement activities

40

Cost

87.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eperez@directaddress.net
• Direct secure messaging: eperez@dmp.emadirect.md

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.

• Dermatology Specialists of San Antonio, PLLC

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1275925869
  Medicare reassignment Care Compare group NPD
• Mariner Medical Center

  • Family Medicine Physician
  • Foster City, CA
  • NPI 1932256294

  Dermatology

  NPD (past)
• Massachusetts Institute of Technology

  dba MIT Health

  • Multi-Specialty Clinic/Center
  • Cambridge, MA
  • NPI 1346308723
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1881755650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 MEMORIAL HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347516",
            "telephone_number": "813-333-1512",
            "fax_number": "813-333-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MEDICAL PKWY STE A",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667579",
            "telephone_number": "512-392-1411",
            "fax_number": "512-392-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDWARD",
        "middle_name": "PENA",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L7107",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "L7107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eperez@dmp.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1999 Medical Pkwy Ste A",
            "city": "San Marcos",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786667579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jean M Pelata, LVN
• Emily L Pena
• Jose Ovidio Pena Jr., MD
• Gerard M Pennington, MD
• Amanda Perez
• Frances C Perez, LVN
• Yvonne Marie Perez, LPC
• Nicole Jackson Peters, CCC-SLP
• Carter Baxter Peterson, LPC
• Diane Marie Phalen, DPM

• Dermatology Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.