Active NPI
Jose R Pereira, M.D.
- Psychiatry Physician
- Virginia Beach, VA
National Provider Identifier
1992064828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD2014-0959
- Practice address
- 244 Clearfield Ave
Virginia Beach, VA 23462 - Phone
- (757) 722-9961
- NPI assigned
- May 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD2014-0959 | NM | Primary |
Addresses
Primary practice location
244 Clearfield Ave
Virginia Beach, VA 23462
Mailing address
244 Clearfield Ave
Virginia Beach, VA 23462-1816
Phone (757) 722-9961
Other practice location 1
7400 Merton Minter Blvd
116B
San Antonio, TX 78229-4404
Phone (210) 617-5300 ext. 15804
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
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4031 Aspen Grove Dr
Suite 390
Franklin, TN 37067-2939
5733 Autumn Chase Cir
Sanford, FL 32773-8173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2014-0959 | NM | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1992064828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621816",
"telephone_number": "757-722-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-722-9961"
}
],
"practiceLocations": [
{
"address_1": "7400 Merton Minter Blvd",
"address_2": "116B",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294404",
"country_code": "US",
"telephone_number": "210-617-5300 x15804",
"fax_number": "210-949-3306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREIRA",
"first_name": "JOSE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-12",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "MD2014-0959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.