Individual provider Active NPI

Isaac Perez, M.D.

  • Dermatology Physician
  • Flower Mound, TX
National Provider Identifier
1962400937
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
K3823 Issued in TX
Practice address
3821 Long Prairie Rd
100
Flower Mound, TX 75028
Phone
(972) 221-2784
Fax
(972) 420-0499
NPI assigned
Jul 13, 2005
Reactivated
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X K3823 TX Primary

Addresses

Primary practice location

3821 Long Prairie Rd
100
Flower Mound, TX 75028

Mailing address

3821 Long Prairie Rd
100
Flower Mound, TX 75028
Phone (972) 221-2784

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100916001173 TX Practitioner - Dermatology 1759387814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3821 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-1569
Phone 9722212784104

Merit-based Incentive Payment System (MIPS)

Final score
69.54 of 100Reported as individual
Quality
39.09
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision107
Removal of skin lesions700
Removal or shaving of skin growth13
Skin biopsy262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Flower Mound Dermatology Dermatology CurrentSince Jul 1, 2003 Accepting new patients

Locations

651 Cross Timbers Rd
Ste 101
Flower Mound, TX 75028
Phone (214) 221-2784

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/mi-flower
  • Direct secure messaging: sandrah@fmd.medinformatixdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1962400937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LONG PRAIRIE RD",
            "address_2": "100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-221-2784",
            "fax_number": "972-420-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 LONG PRAIRIE RD",
            "address_2": "100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-221-2784",
            "fax_number": "972-420-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ISAAC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2015-11-04",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K3823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.