Shivanand Vijay Persad, PA-C

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME135224 Issued in FL

Practice address

7050 W Palmetto Park Rd Ste 30
Boca Raton, FL 33433-3463

Phone

(954) 425-9154

Fax

(866) 981-1882

NPI assigned

May 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FCHBDD/Endpoint/FCHBDD

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

• MD Healthcare Boca Raton LLC

  • General Practice Physician
  • Boca Raton, FL
  • NPI 1144979949
  Medicare reassignment

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1306337753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD STE 30",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333463",
            "telephone_number": "954-425-9154",
            "fax_number": "866-981-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD STE 30",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333463",
            "telephone_number": "954-425-9154",
            "fax_number": "866-981-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAD",
        "first_name": "SHIVANAND",
        "middle_name": "VIJAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME135224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Perovich, MD
• Marcia Cristiane Perretto, DPT
• Paula S. Perretz
• Jennifer Lynn Perry, PSY.D.
• Lindsay Kaitlin Perry, PT
• Personal Hair Center
• Jarett Alex Pertnoy
• Richard Allen Peshkin, MD
• Aryeh J Pessah, MD
• Christine Pestana, MD

• Adult Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.