Individual provider Active NPI

Indrani Persaud Umadat, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1356426795
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
243236 Issued in NY
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

Updated by the provider on Dec 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
243236OtherNYLICENSE
02935739MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000243 NY Practitioner - Family Practice 2163509506 Reassigns benefits to 1 organization

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
New York City Health and Hospitals CorporationGroup PAC ID 4183535305, 543 clinicians

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

LicenseStateTypeSpecialty
243236NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Sep 18, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Sep 18, 2023 Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Doral Pharmacy LLC PastSince Feb 1, 2021 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

  • Direct secure messaging: ipersaudumadat3835276@nychhc.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.