DR. JACKQUELIN PEREZ (M.D.) – Obstetrics & Gynecology Physician, NPI 1902113269

DR. JACKQUELIN PEREZ (M.D.) is a healthcare provider. based in Pasadena, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. N0726 (TX). The NPI Number for DR. JACKQUELIN PEREZ (M.D.) is 1902113269

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACKQUELIN PEREZ (M.D.)
NPI
1902113269
Phone
(713) 378-6494
Address
3333 BURKE RD
Enumeration Date
8 September 2010
Last Update Date
13 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
7133786494
Graduation Year
2006 (20 years ago)
PAC ID
8022281401
Group Practice PAC ID
5496756033
Professional Enrollment ID
I20111031000455
Address ID
TX775041803PA3333XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for DR. JACKQUELIN PEREZ (M.D.)

  • 3333 BURKE RD

    PASADENA, TX 775041803

    Phone: (713) 378-6494

    Fax: (713) 378-6495

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $1,039.

Total Amount is formed as General ($1,039) + Research ($0) + Ownership ($0) = $1,039.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Astellas Pharma US Inc ($477).

Total Amount

$1,039

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,039

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-10-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111031000455IObstetrics/GynecologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496756033View full group profile
NameSpecialtyState
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

Can I verify DR. JACKQUELIN PEREZ (M.D.) with an NPI only?
You can start verification with NPI 1902113269 for DR. JACKQUELIN PEREZ (M.D.), then check state licensing separately.
Can I rely on DR. JACKQUELIN PEREZ (M.D.) being an active provider?
As of the registry snapshot, DR. JACKQUELIN PEREZ (M.D.) is marked active.
What healthcare role does DR. JACKQUELIN PEREZ (M.D.) hold?
Scheduling teams often label DR. JACKQUELIN PEREZ (M.D.) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JACKQUELIN PEREZ (M.D.) list a practice location?
Patients near Pasadena, Texas may find DR. JACKQUELIN PEREZ (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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