NPI age
14 years
Enumerated 2012-04-02
● Active
Type 1 · Individual
Jonathan David Perez, M.D.
Perez is 1 of 18 internal medicine providers in Tyler and 1 of 479 in Texas.
Primary specialty
Internal Medicine
Plus 4 subspecialties
Licensed in
TX, GA, PA, MI
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 479 active internal medicine providers in Texas.
NPI age
14 years
↓ 2 yr below median (16 yr)
State licenses
4 states
Top 67% — 32% of peers are multi-state
Subspecialties
1
In the 79% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
800 E Dawson St
Tyler, TX 757012036
Mailing address
777 Hemlock Street
MacOn, GA 31201
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
2799 W Grand Blvd
Detroit, MI 482022608
Location 3
777 Hemlock St
MacOn, GA 312012102
Specialties
-
Internal Medicine PrimaryAn internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1M9724 | MEDICARE |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.