Active NPI
Surita D. Persaud, C
- Certified Registered Nurse Anesthetist
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 5681501
- Practice address
- 47 New Scotland Ave
Albany, NY 12208-3412 - Phone
- (518) 262-4301
- NPI assigned
- Nov 17, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RE2288 | GU | |
| Certified Registered Nurse Anesthetist | 367500000X | 5681501 | NY | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 201910314RN | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | NP0171 | GU |
Addresses
Primary practice location
47 New Scotland Ave
Albany, NY 12208-3412
Mailing address
11688 SW Errol St
Portland, OR 97223-4046
Phone (971) 777-0675
Other practice location 1
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (503) 813-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Northwest Permanente PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GU, OR
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Albany Medical College of Union University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1270
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP0171 | GU | MD | Certified Registered Nurse Anesthetist |
| 5681501 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Tuality Anesthesia Services, LLC | Current | Accepting new patients | |
| Oregon Anesthesiology Group PC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Albany Medical College | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300
633 Waverly Dr SE
Albany, OR 97322
Phone (541) 286-2309
10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
707 SW Washington St
Ste 700
Portland, OR 97205
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1445 State St
Salem, OR 97301
Phone (503) 315-7338
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
Interoperability endpoints
- spersaud182783@direct.ohsu.edu
Organizations & group practices 10
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hillsboro, OR
- NPI 1508174012
-
dba GRMC Specialty Care Center
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Department of Medicine
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
dba Alabany Medical College Dept of Anesthesia
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Portland, OR
- NPI 1306192455
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillsboro Medical Center Women's Health Clinic
- Clinic/Center
- Hillsboro, OR
- NPI 1023130978
Hospital
-
dba Hillsboro Medical Center Urology Clinic
- Clinic/Center
- Hillsboro, OR
- NPI 1043433956
Hospital
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
dba Hillsboro Medical Center Pulmonology Clinic
- Clinic/Center
- Hillsboro, OR
- NPI 1104194315
Hospital
-
dba Hillsboro Medical Center
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
-
dba Hillsboro Medical Center Orenco Station Primary Care
- Clinic/Center
- Hillsboro, OR
- NPI 1356647168
Hospital
-
dba Tuality Physical Medicine & Electrodiagnostic Center
- Clinic/Center
- Hillsboro, OR
- NPI 1790053700
Hospital
-
dba Center for Geriatric Psychiatry
- Clinic/Center
- Forest Grove, OR
- NPI 1851515969
Hospital
-
dba Hillsboro Internal Medicine
- Clinic/Center
- Hillsboro, OR
- NPI 1902016371
Hospital
-
dba Hillsboro Surgical Associates
- Clinic/Center
- Hillsboro, OR
- NPI 1952607970
Hospital
-
dba Westside Medical Clinic/NW Orthopaedic Surgery & Sports Medicine
- Clinic/Center
- Hillsboro, OR
- NPI 1972627198
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1427325562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11688 SW ERROL ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972234046",
"telephone_number": "971-777-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083412",
"telephone_number": "518-262-4301"
}
],
"practiceLocations": [
{
"address_1": "10180 SE Sunnyside Rd",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970158970",
"country_code": "US",
"telephone_number": "503-813-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERSAUD",
"first_name": "SURITA",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2022-02-04",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GU",
"license": "RE2288",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "5681501",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201910314RN",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GU",
"license": "NP0171",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Northwest Permanente PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10180 SE Sunnyside Rd",
"city": "Clackamas",
"state": "OR",
"country_code": "US",
"postal_code": "970158970",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.