Mohan Persaud, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME59705 Issued in FL

Practice address

4601 N Congress Ave
Suite 203
West Palm Beach, FL 33407-3228

Phone

(561) 881-0100

Fax

(561) 881-0099

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1164464822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE",
            "address_2": "SUITE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073228",
            "telephone_number": "561-881-0100",
            "fax_number": "561-881-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE",
            "address_2": "SUITE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073228",
            "telephone_number": "561-881-0100",
            "fax_number": "561-881-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME59705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058958600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosangel Perry, APRN
• Shirley Pauline Perry, TARGETED CASE MANAGE
• Sirena Perryman, MEDICAL ASSISTANT
• Perryman'S Pride
• Alia Persad-Feisal
• Personal Elder Care II
• Personal Elder Care Inc.
• Personal Touch, Inc.
• Amanda Peter, PMHNP-BC
• Courtney Peterkin

• Specialist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.