JUAN R PEREZ (MD) – Emergency Medicine Physician, NPI 1902858798
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
257 EMERGENCY MEDICINE in HI
Provider Addresses for JUAN R PEREZ (MD)
1 JARRETT WHITE RD
TRIPLER AMC, HI 968595001
Phone:
Type: Mailing
Philadelphia Post Office, Church Avenue, Philadelphia, Neshoba County, Mississippi, 39350, United States
PHILADELPHIA, PA 191018488
Phone: (805) 563-3011
Fax: (805) 564-5087
Type: Mailing
Maui Memorial Medical Center, 221, Mahalani Street, Wailuku, Maui County, Hawaii, 96793, United States
WAILUKU, HI 967932526
Phone: (808) 244-6155
Fax: (808) 244-1169
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050302001115 | I | Emergency Medicine | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 96859)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | HI | |
| - | HI | |
| - | HI | |
| N E U R O L O G Y | HI | |
| Interventional Radiology, Interventional Cardiology | CA | |
| Physician Assistant | GA | |
| N E U R O S U R G E R Y | NC | |
| - | HI | |
| General Practice | HI | |
| - | HI |
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