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ADRIAN MORENO PEREZ PA-C
NPI 1275404055
Physician Assistant in Hamtramck, MI

Active since September 15, 2025PECOS Enrolled
4420 E DAVISON ST, HAMTRAMCK, MI 48212(313) 369-1500 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Dec 16, 2025, Sep 15, 2025 (3 updates tracked since 2025).

About Adrian Moreno Perez Pa-c NPPES

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

ADRIAN MORENO PEREZ PA-C (NPI 1275404055) is an individual physician assistant in Hamtramck, Michigan, licensed in Michigan (5601013478) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2025).

NPPES Registry Identity

NPI1275404055
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADRIAN MORENO PEREZCredential: PA-C
Location Address4420 E DAVISON STHamtramck, MI 48212-1744
Mailing Address18000 W 9 Mile Rd Ste 200Southfield, MI 48075-4020 · (248) 336-4000 · Fax (248) 336-9137
Phone(313) 369-1500
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2025
Enumeration DateSeptember 15, 2025
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1275404055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601013478
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4420 E DAVISON ST, Hamtramck, MI 48212
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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)

Adrian Moreno Perez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608369376
PECOS Enrollment IDI20251202000803
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

RACHEL JOANNA BERRY MS, PA
Family Medicine
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Wayne County (313) 369-1500
AMITABH PAHARIA M.D.
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Wayne County (313) 369-1500
TAYSHA L HURT FNP
Nurse Practitioner (Family)
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Wayne County (313) 369-1500
E DAVIDSON RX LLC
Pharmacy (Community/Retail Pharmacy)
4420 E DAVISON ST
DETROIT, MI 48212
Wayne County (313) 334-6711
GREAT LAKES FAMILY MEDICAL CENTER PLLC
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Wayne County (313) 369-1500
EPIC CARE CENTERS INC
Family Medicine
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Wayne County (313) 752-2070
DR. GEORGE DOMINIC MAMMO MD, MS
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Wayne County (313) 369-1500
JASMEET KAUR KOONER
Pharmacist
4420 E DAVISON ST
DETROIT, MI 48212
Wayne County (248) 397-8677

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 Adrian Moreno Perez's NPI number?

The NPI number for Adrian Moreno Perez is 1275404055. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Adrian Moreno Perez located?

Adrian Moreno Perez practices at 4420 E Davison St, Hamtramck, MI 48212. The listed phone number is (313) 369-1500.

What is Adrian Moreno Perez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adrian Moreno Perez enrolled in Medicare?

Yes. Adrian Moreno Perez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adrian Moreno Perez was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.