Active NPI
Indrani Persaud, D.O
- Family Medicine Physician
- Hollis, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 280008
- Practice address
- 18803 Jamaica Ave
Hollis, NY 11423-2511 - Phone
- (718) 740-2060
- Fax
- (718) 740-4870
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 280008 | NY | Primary |
Addresses
Primary practice location
18803 Jamaica Ave
Hollis, NY 11423-2511
Mailing address
196 Merrick Rd
Oceanside, NY 11572-1420
Phone (516) 255-8414
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
- New York College of Osteo Medicine of New York Institute of Technology, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18803 Jamaica Ave
Hollis, NY 11423-2511
Phone (718) 740-2060
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.19 of 100
- Quality
- 82.16
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 75.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital Medical Center | Past | Accepting new patients |
Locations
3080 Atlantic Ave
Brooklyn, NY 11208
Phone (718) 647-0240
18803 Jamaica Ave
Jamaica, NY 11423
Phone (718) 740-2060
11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- ipersaud43244@direct.medisys.org
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Ambulatory Family Planning Facility
- Richmond Hill, NY
- NPI 1134376254
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1538507124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 MERRICK RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721420",
"telephone_number": "516-255-8414",
"fax_number": "516-255-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18803 JAMAICA AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232511",
"telephone_number": "718-740-2060",
"fax_number": "718-740-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "INDRANI",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "280008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.