Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ian John Pereira, MD

Individual provider Radiation Oncology Physician · NPI 1255260378

Ian John Pereira, MD is a Radiation Oncology in Plattsburgh, New York. Qualified in 2012, 14 years ago. Practices with Champlain Valley Physicians Hospital Medical Center, a 352-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

75 Beekman St
Plattsburgh, NY 12901-1438
Phone: (518) 562-7100
Fax: (518) 562-7531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 133 Park St, Malone, NY 12953-1244 — (518) 483-3000

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 343386 (NY)

Record details

NPI number1255260378
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Champlain Valley Physicians Hospital Medical Center — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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