Active NPI
Amanda Perez-Garcia, MD
- Family Medicine Physician
- Rochelle, IL
National Provider Identifier
1922520022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036153090
- Practice address
- 380 E Il Route 38
Rochelle, IL 61068-9694 - Phone
- (779) 696-9050
- NPI assigned
- Jul 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125071542 | IL | |
| Family Medicine Physician | 207Q00000X | 036153090 | IL | Primary |
Addresses
Primary practice location
380 E Il Route 38
Rochelle, IL 61068-9694
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aperezmd1137124@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2550 Charles St
Rockford, IL 61108-1606
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036153090 | IL | MD | Family Medicine Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1922520022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E IL ROUTE 38",
"city": "ROCHELLE",
"state": "IL",
"postal_code": "610689694",
"telephone_number": "779-696-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-GARCIA",
"first_name": "AMANDA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125071542",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036153090",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aperezmd1137124@direct.uwhealth.org",
"affiliation": "N",
"address_1": "380 E Il Route 38",
"city": "Rochelle",
"state": "IL",
"country_code": "US",
"postal_code": "610689694",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochelle, IL
- Alexa Giselle Ochoa
- Basith Mahmood Osmani, MD FRCS
- Amanda Claire Page, PHARMD
- Shazeen Pardesi, DDS
- Stacey J Patla
- Lisa K Perino, PSY D
- Sharda Bramhawatie Persaud, PHARMD
- Petersen Companies, LLC (Rochelle Rehabiliation & Health Care Center)
- Petersen Health Network, LLC (Rochelle Gardens Care Center)
- Petersen Health Network, LLC (Rochelle Rehabilitation & Health Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.