NPIMap

Individual provider Active NPI

Rajesh Arun Persaud, M.D.

  • General Practice Physician
  • St Augustine, FL
National Provider Identifier
1023384179
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN611 Issued in FL
Practice address
16 Saint Johns Medical Park Dr
Saint Augustine, FL 32086-5299
Phone
(904) 794-5411
Fax
(904) 794-6815
NPI assigned
Mar 22, 2012
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN611 FL Primary

Addresses

Primary practice location

16 Saint Johns Medical Park Dr
Saint Augustine, FL 32086-5299

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

7200 Normandy Blvd Ste 20
Jacksonville, FL 32205-6271
Phone (904) 906-4405

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rajesh.persaud.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150408002369 FL Practitioner - General PracticePractitioner - Internal Medicine 3375861057 Reassigns benefits to 3 organizations
I20160111002659 TX Practitioner - Internal Medicine 3375861057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

11513 N Main St
Jacksonville, FL 32218-4002
Phone (904) 751-6200

16 Saint Johns Medical Park Dr
St Augustine, FL 32086-5299
Phone (904) 794-5411

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

381 Palm Coast Pkwy SW
Unit 5
Palm Coast, FL 32137-4782
Phone (386) 446-4255

7200 Normandy Blvd
Suite 20
Jacksonville, FL 32205-6271
Phone (904) 378-8520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as apm
Quality
77.66
Promoting interoperability
70.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.76
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Nov 4, 2024 Accepting new patients
Rural Health Care Incorporated CurrentSince Apr 6, 2020 Accepting new patients
Internal Medicine Associates of St Johns County PA CurrentSince Feb 15, 2021 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Dec 14, 2015 Accepting new patients
Millennium Physician Group LLC CurrentSince Nov 4, 2024 Accepting new patients
Rural Health Care Incorporated General Practice Current Accepting new patients
Rural Health Care, Inc. CurrentSince Apr 6, 2020 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Dec 14, 2015 Accepting new patients
James J. Peter's, Bronx Veteran Medical Center Past Accepting new patients
Paul D Jayachandra M D P a PastSince Jan 16, 2017 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

306 Union Ave
Crescent City, FL 32112
Phone (386) 698-1232

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

381 Palm Coast Pkwy SW
Unit 5
Palm Coast, FL 32137
Phone (386) 446-4255

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

16 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 794-5411

405 Elm St
Welaka, FL 32193
Phone (386) 467-3171

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

107 H St
Poplar, MT 59255
Phone (406) 738-3491

Interoperability endpoints

  • Direct secure messaging: rajesh.persaud.1@4290.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1023384179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SAINT JOHNS MEDICAL PARK DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865299",
            "telephone_number": "904-794-5411",
            "fax_number": "904-794-6815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Normandy Blvd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322056271",
            "country_code": "US",
            "telephone_number": "904-906-4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "RAJESH",
        "middle_name": "ARUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rajesh.persaud.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7200 Normandy Blvd Ste 20",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322056271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.