Individual provider Active NPI

Anuradha Rampersaud, PA-C

  • Physician Assistant
  • Aventura, FL
National Provider Identifier
1588285753
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115131 Issued in FL
Practice address
20814 W Dixie Hwy
Aventura, FL 33180-1147
Phone
(305) 933-8433
Fax
(305) 933-9115
NPI assigned
Apr 29, 2020
Last updated
Mar 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115131 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

20814 W Dixie Hwy
Aventura, FL 33180-1147

Mailing address

20814 W Dixie Hwy
Aventura, FL 33180-1147
Phone (305) 933-8433

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220415000317 FL Practitioner - Physician Assistant 6305232547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edelstein and Bustamante MDS PAGroup PAC ID 4789630773, 8 clinicians

Practice addresses (Care Compare)

160 NW 170TH St
Miami, FL 33169-5521
Phone (305) 651-1100

1859 Van Buren St
Hollywood, FL 33020-5127
Phone (954) 920-9000

20814 W Dixie Hwy
Aventura, FL 33180-1147
Phone (305) 933-8433

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 987-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1588285753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20814 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-933-8433",
            "fax_number": "305-933-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20814 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-933-8433",
            "fax_number": "305-933-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMPERSAUD",
        "first_name": "ANURADHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115131",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.