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ANTHONY MANUEL PEREZ MD
NPI 1174198485
Student in an Organized Health Care Education/Training Program in Grand Prairie, TX

Active since May 20, 2021PECOS Enrolled
5203 LAKE RIDGE PKWY, GRAND PRAIRIE, TX 75052(817) 633-9590 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2026, Mar 18, 2023, Jun 23, 2021 and 1 more (4 updates tracked since 2021).

About Anthony Manuel Perez Md NPPES

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

ANTHONY MANUEL PEREZ MD (NPI 1174198485) is an individual student in an organized health care education/training program in Grand Prairie, Texas and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174198485
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTHONY MANUEL PEREZCredential: MD
Location Address5203 LAKE RIDGE PKWYGrand Prairie, TX 75052-3010
Mailing Address5301 S Congress AveAtlantis, FL 33462-1149 · (561) 548-1450 · Fax (561) 548-1459
Phone(817) 633-9590
Sole ProprietorNo
Enumeration DateMay 20, 2021
Last NPPES UpdateMay 26, 20264 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1174198485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.

5203 LAKE RIDGE PKWY, Grand Prairie, TX 75052
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Manuel Perez Md 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 3

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

KELSEY R DOMBROWSKI DO
Internal Medicine
5203 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052
Dallas County (817) 633-9590
JESSIE SALES BERNABE ACNP-BC
Nurse Practitioner (Acute Care)
5203 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052
Dallas County (682) 218-5400
COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP
Clinic/Center (Emergency Care)
5203 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052
Dallas County (682) 218-5400

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 Anthony Perez's NPI number?

The NPI number for Anthony Perez is 1174198485. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Anthony Perez located?

Anthony Perez practices at 5203 Lake Ridge Pkwy, Grand Prairie, TX 75052. The listed phone number is (817) 633-9590.

What is Anthony 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 Anthony Perez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Anthony Perez was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.