DR. GERARDO PEREZ DO
NPI 1053162479
Student in an Organized Health Care Education/Training Program in Cornelius, NC

Active since April 01, 2024PECOS Enrolled
19485 OLD JETTON RD STE 100, CORNELIUS, NC 28031(704) 316-5170 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Dr. Gerardo Perez Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERARDO PEREZ DO (NPI 1053162479) is an individual student in an organized health care education/training program in Cornelius, North Carolina, licensed in North Carolina (RTL24-1037) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053162479
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GERARDO PEREZCredential: DO
Location Address19485 OLD JETTON RD STE 100Cornelius, NC 28031-6583
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Sole ProprietorYes
Enumeration DateApril 1, 2024
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1053162479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NC · RTL24-1037
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
19485 OLD JETTON RD STE 100, Cornelius, NC 28031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gerardo Perez Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Nurse Practitioner (Family)
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerardo Perez's NPI number?

The NPI number for Gerardo Perez is 1053162479. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Gerardo Perez located?

Gerardo Perez practices at 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031. The listed phone number is (704) 316-5170.

What is Gerardo Perez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gerardo Perez enrolled in Medicare?

Yes. Gerardo Perez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gerardo Perez was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.