CARLOS J PEREZ MD PHD
NPI 1679214282
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Carlos Perez's NPI number?

The NPI number for Carlos Perez is 1679214282. It was assigned to this individual provider in the NPPES registry on April 6, 2022. The provider is also known as Carlos J Perez Kerkvliet MD, Phd.

Q: What is Carlos Perez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carlos Perez was last updated on September 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 06, 2022PECOS Enrolled

1025 WALNUT ST STE 1100, PHILADELPHIA, PA 19107(215) 955-1416(215) 955-1884 Get Directions Write a Review

NPPES record last updated: September 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2022, Apr 6, 2022 (2 updates tracked since 2022).

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About Carlos J Perez Md Phd NPPES

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

CARLOS J PEREZ MD PHD (NPI 1679214282) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT226833) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679214282

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCARLOS J PEREZCredential: MD PHD

Location Address1025 WALNUT ST STE 1100Philadelphia, PA 19107-5001

Mailing Address1025 Walnut St Ste 1100Philadelphia, PA 19107-5001 · (215) 955-1419

Phone(215) 955-1416

Fax(215) 955-1884

Sole ProprietorYes

Enumeration DateApril 6, 2022

Last NPPES UpdateSeptember 10, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2022

✔ NPI 1679214282 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

License✔ Licensed in PA · MT226833

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.

1025 WALNUT ST STE 1100, Philadelphia, PA 19107

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Other Names 1

Other Name (5)Carlos J Perez Kerkvliet Md, Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos J Perez Md Phd 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 10

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

SYRUS H RAZAVI

Student in an Organized Health Care Education/Training Program