Active NPI
Wilmer Perez, MD
- Pulmonary Disease Physician
- Federal Way, WA
National Provider Identifier
1922037589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD00048425
- Practice address
- 34503 9TH Ave S Ste 230
Federal Way, WA 98003-8726 - Phone
- (253) 838-3103
- Fax
- (360) 744-6270
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD00048425 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD00048425 | WA | Primary |
Addresses
Primary practice location
34503 9TH Ave S Ste 230
Federal Way, WA 98003-8726
Mailing address
34503 9TH Ave S Ste 230
Federal Way, WA 98003-8726
Phone (253) 838-3103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922037589 | Medicaid | WA | |
| 2070515 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wperez590483@fhsce.catholichealth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00048425 | WA | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Wilmer Perez MD PC | Pulmonary Disease | Past | Accepting new patients |
| Walsen Clinic | Past | Accepting new patients | |
| Complete Foot Care, P.C. | Past | Accepting new patients |
Locations
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
Interoperability endpoints
- wperez590483@fhsce.catholichealth.net
- wperez475084@direct.lhs.org
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Pulmonary Disease Physician
- Pueblo, CO
- NPI 1730100769
-
- Neurological Surgery Physician
- Federal Way, WA
- NPI 1386857530
-
- Foot & Ankle Surgery Podiatrist
- Pueblo, CO
- NPI 1588842124
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
- Health Service Clinic/Center
- Walsenburg, CO
- NPI 1750422275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1922037589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34503 9TH AVE S STE 230",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038726",
"telephone_number": "253-838-3103",
"fax_number": "360-744-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34503 9TH AVE S STE 230",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038726",
"telephone_number": "253-838-3103",
"fax_number": "360-744-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "WILMER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WA",
"license": "MD00048425",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD00048425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922037589",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2070515",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wperez590483@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "34503 9th Ave S Ste 230",
"city": "Federal Way",
"state": "WA",
"country_code": "US",
"postal_code": "980038726",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.