Active NPI
Indrani Persaud Umadat, MD
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 243236
- Practice address
- 1797 Pitkin Ave
Brooklyn, NY 11212-7839 - Phone
- (718) 971-1944
- Fax
- (718) 971-1945
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 243236 | NY | Primary |
Addresses
Primary practice location
1797 Pitkin Ave
Brooklyn, NY 11212-7839
Mailing address
1797 Pitkin Ave
Brooklyn, NY 11212-7839
Phone (718) 971-1944
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243236 | Other | NY | LICENSE |
| 02935739 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ipersaud@doralhw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2094 Pitkin Ave
Brooklyn, NY 11207-3509
Phone (718) 388-5889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243236 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| The Institute for Family Health | Family Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Doral Pharmacy LLC | Past | Accepting new patients |
Locations
1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508
2094 Pitkin Ave
Brooklyn, NY 11207
Phone (718) 240-0400
279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930
50 Water St
Fl 3
New York, NY 10004
227 Madison St
New York, NY 10002
Phone (212) 238-7000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ipersaudumadat3835276@nychhc.direct-ci.com
- indranipersaud@mai.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Clinic/Center
- Bronx, NY
- NPI 1548998347
-
- Family Medicine Physician
- Bronx, NY
- NPI 1740553841
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1558051482
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701561600000",
"number": "1356426795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1797 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127839",
"telephone_number": "718-971-1944",
"fax_number": "718-971-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1797 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127839",
"telephone_number": "718-971-1944",
"fax_number": "718-971-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD UMADAT",
"first_name": "INDRANI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2023-12-03",
"certification_date": "2023-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "243236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "243236",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02935739",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ipersaud@doralhw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1797 Pitkin Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112127839",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.