ALEJANDRA PEREZ-TAMAYO – Surgery Physician, NPI 1821416165

ALEJANDRA PEREZ-TAMAYO is a healthcare provider. based in Burlington, Vermont. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold a License No. 036.149537 (IL). The NPI Number for ALEJANDRA PEREZ-TAMAYO is 1821416165

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ALEJANDRA PEREZ-TAMAYO
NPI
1821416165
Phone
(802) 847-2566
Address
111 COLCHESTER AVE
Enumeration Date
3 April 2014
Last Update Date
14 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3126337292
Graduation Year
2014 (12 years ago)
PAC ID
0941610869
Group Practice PAC ID
2860398088
Professional Enrollment ID
I20201104002623
Address ID
IL606123714CH1901XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8 COLORECTAL SURGERY (PROCTOLOGY) in VT

Provider Addresses for ALEJANDRA PEREZ-TAMAYO

  • 111 COLCHESTER AVE

    MAILSTOP 341BA1

    BURLINGTON, VT 054011473

    Phone: (802) 847-2566

    Type: Mailing

  • 1801 W. TAYLOR STREET

    MC741

    CHICAGO, IL 60612

    Phone: (312) 996-2061

    Fax: (312) 996-1214

    Type: Location

  • 840 S WOOD ST STE 518

    CHICAGO, IL 606124325

    Phone: (312) 996-0066

    Fax: (312) 996-1214

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Axonics, Inc. ($157).

Total Amount

$191

General + Research + Ownership

Payments

3

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-11-04

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
I20201104002623IColorectal Surgery (Proctology)ILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4016$0
99213Established patient office or other outpatient visit, 20-29 minutes1411$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
99212Established patient office or other outpatient visit, 10-19 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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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: 2860398088View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
Cardiovascular Disease (Cardiology)NY
Cardiovascular Disease (Cardiology), Internal MedicineIL

Reviews

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Frequently asked questions

What NPI should I save for ALEJANDRA PEREZ-TAMAYO?
Save NPI 1821416165 if you need a stable reference for ALEJANDRA PEREZ-TAMAYO.
Does this profile mean ALEJANDRA PEREZ-TAMAYO is currently active?
Yes — ALEJANDRA PEREZ-TAMAYO appears active in the national provider directory.
What kind of provider is ALEJANDRA PEREZ-TAMAYO?
The page reflects Surgery Physician for ALEJANDRA PEREZ-TAMAYO. Clinical services aligned with this taxonomy classification.
Where is ALEJANDRA PEREZ-TAMAYO's primary listing?
We display Burlington, Vermont because that is what the record indicates for ALEJANDRA PEREZ-TAMAYO.
What if Burlington, Vermont seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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