Mark Pereira, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

138165 Issued in NY

Practice address

2440 Ridgeway Ave
Suite #100
Rochester, NY 14626-4145

Phone

(585) 720-1550

Fax

(585) 720-1553

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1942277017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 RIDGEWAY AVE",
            "address_2": "SUITE #100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264145",
            "telephone_number": "585-720-1550",
            "fax_number": "585-720-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 RIDGEWAY AVE",
            "address_2": "SUITE #100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264145",
            "telephone_number": "585-720-1550",
            "fax_number": "585-720-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "138165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Joanna Perazzo, LMHC, NCC
• Rosa Eneida Perdomo Rivera, LPN
• Heather Pereira
• Joseph Robert Pereira, DO
• Karina Dutra Pinto Pereira Sr., DDS
• Thairo Alves Pereira, MD
• Maria Fernanda Perez-Garcia, MD
• Christie Marie Perez-Johnson, MD
• Crystal Perez
• Cyndia Perez, LPN

• Gastroenterology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.

Verify at the official NPI Registry.