Individual provider Active NPI

Tarek Omar Persaud, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Huntsville, AL
National Provider Identifier
1073578589
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
27315 Issued in AL
Practice address
401 Meridian St N
400
Huntsville, AL 35801-4720
Phone
(256) 539-8851
Fax
(256) 534-7203
NPI assigned
Apr 18, 2006
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 00027315 AL
Retina Specialist (Ophthalmology) Physician 207WX0107X 27315 AL Primary

Addresses

Primary practice location

401 Meridian St N
400
Huntsville, AL 35801-4720

Mailing address

401 Meridian St N
400
Huntsville, AL 35801-4720
Phone (256) 539-8851

Other identifiers 1

IdentifierTypeStateIssuer
112997MedicaidAL

Other names 1

  • Tarek Hosein Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060908000405 AL Practitioner - Ophthalmology 1456355213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Specialists of North Alabama, LLCGroup PAC ID 7719906239, 6 clinicians

Practice addresses (Care Compare)

401 Meridian St N
Suite 400
Huntsville, AL 35801-4719
Phone (256) 539-8851

8646 Hwy 72 W
Madison, AL 35758-9580
Phone (256) 325-0501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027315ALMDOphthalmology Physician
27315ALMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Specialists of North Alabama LLC Ophthalmology CurrentSince Oct 1, 2009 Accepting new patients
HH Physicians Network CurrentSince Jul 1, 2020 Accepting new patients
The Eye Physicians of Pinellas, PA Ophthalmology Past Accepting new patients
Retina Specialists of North Alabama LLC Ophthalmology Past Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients
Maynor & Mitchell Eye Center PC Ophthalmology PastSince Oct 24, 2009 Accepting new patients

Locations

1201 11th Ave S
Ste 300
Birmingham, AL 35205

216 Marengo St
Ste K
Florence, AL 35630
Phone (256) 740-0601

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

401 Meridian St N
Ste 400
Huntsville, AL 35801
Phone (256) 539-8851

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

8646 Highway 72 W
Madison, AL 35758
Phone (256) 325-0501

Interoperability endpoints

  • Direct secure messaging: tpersaud@rsnallc.intellechartdirect.net

Organizations & group practices 6

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 1

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1073578589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MERIDIAN ST N",
            "address_2": "400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014720",
            "telephone_number": "256-539-8851",
            "fax_number": "256-534-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MERIDIAN ST N",
            "address_2": "400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014720",
            "telephone_number": "256-539-8851",
            "fax_number": "256-534-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "TAREK",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00027315",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AL",
            "license": "27315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112997",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAREK",
            "last_name": "HOSEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.