Miranda Kavita Persaud, PA-C

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

PA9115776 Issued in FL

Practice address

PO Box 1268
New Smyrna Beach, FL 32170-1268

Phone

(386) 259-8803

Fax

(386) 213-9981

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

94.8 of 100Reported as group

Quality

86.19

Improvement activities

40

Cost

67.75

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Whatever It Takes Medical, LLC

  • Internal Medicine Physician
  • New Smyrna Beach, FL
  • NPI 1477232171
  Medicare reassignment

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1619601671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 COLLINS RD APT 2509",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445888",
            "telephone_number": "754-422-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321701268",
            "telephone_number": "386-259-8803",
            "fax_number": "386-213-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6710 Collins Rd Apt 2509",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322445888",
            "country_code": "US",
            "telephone_number": "754-422-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3750 San Jose Pl Ste 35",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322578861",
            "country_code": "US",
            "telephone_number": "904-902-4126",
            "fax_number": "904-902-3926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "MIRANDA",
        "middle_name": "KAVITA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115776",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "PA9115776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202248493",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PCCC of Volusia LLC
• Jami L Peace, HAS
• Timothy G Pearson, LMT
• Jennifer Selene Peden, NP
• Kyle Penland, DMD
• Judy A Pfister, LMT
• William Henry Pflugfelder III, RPH
• Xuan H Phan, RPH
• Lindsey Pickard
• Jared Pieniazek, DO

• Pain Medicine Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.