PABLO ERMELO G PEREZ (MD) – Family Medicine Physician, NPI 1578658993

PABLO ERMELO G PEREZ (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in FAMILY PRACTICE, PREVENTIVE MEDICINE. They hold the professional credentials MD. They hold a License No. 22369 (SC). The NPI Number for PABLO ERMELO G PEREZ (MD) is 1578658993

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
PABLO ERMELO G PEREZ (MD)
NPI
1578658993
Phone
(414) 649-6000
Address
2900 W Oklahoma Ave
Enumeration Date
3 October 2006
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
7113090085
Group Practice PAC ID
1355259714
Professional Enrollment ID
I20080725000159

Contacts

Secure Messaging
pperez312534@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

3,050 FAMILY PRACTICE in WI

Provider Addresses for PABLO ERMELO G PEREZ (MD)

  • 2900 W Oklahoma Ave

    Milwaukee, WI 532154330

    Phone: (414) 649-6000

    Type: Location

  • 210, Main Street, Peoria, Peoria County, Illinois, 61602, United States

    PEORIA, IL 616025005

    Phone: (309) 689-6074

    Type: Mailing

  • 1425 N RANDALL RD

    ELGIN, IL 601232300

    Phone: (224) 783-3450

    Fax: (224) 783-1124

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-05-04 • Largest payer in this snapshot: Organogenesis Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organogenesis Inc.$25
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: 2021-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080725000159IFamily PracticeILTBD
I20210701002317IFamily PracticeWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes25375$0
97597Removal of tissue from wound, 20.0 sq cm or less11161$0
99214Established patient office or other outpatient visit, 30-39 minutes9246$0
99204New patient office or other outpatient visit, 45-59 minutes7070$0
11042Removal of skin and tissue, 20.0 sq cm or less3725$0
View full utilization report →

Insurance plans in this area (ZIP 53215)

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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: 1355259714View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is PABLO ERMELO G PEREZ (MD) identified in CMS data?
CMS-hosted NPPES data lists PABLO ERMELO G PEREZ (MD) with NPI 1578658993.
Is PABLO ERMELO G PEREZ (MD) listed as active for patients and plans?
The listing shows PABLO ERMELO G PEREZ (MD) as active in the NPI system.
What taxonomy line describes PABLO ERMELO G PEREZ (MD)?
For research purposes, treat PABLO ERMELO G PEREZ (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for PABLO ERMELO G PEREZ (MD)?
PABLO ERMELO G PEREZ (MD)'s geographic hint is Milwaukee, Wisconsin in our summary view.
Is the information about PABLO ERMELO G PEREZ (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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