Amudha Mani Perumal, M.D

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME76693 Issued in FL

Practice address

1201 Arapaho Ave
St Augustine, FL 32084-4258

Phone

(904) 829-9919

Fax

(904) 829-2617

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
• Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as apm

Quality

77.66

Promoting interoperability

70.54

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aperumal744202@direct.shands.ufl.edu

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.

• Neurology Care Inc

  • Neuromusculoskeletal Medicine & OMM Physician
  • St Augustine, FL
  • NPI 1972791085
  Medicare reassignment Authorized official
• Innervate Neurology Clinic, Inc.

  dba Innervate Muscle and Nerve Specialist

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1972979888
  Medicare reassignment
• Neurology Consultants Inc

  • Neurology Physician
  • St Augustine, FL
  • NPI 1164544011
  NPD (past)

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

• Adventhealth Palm Coast Parkway Inc

  dba Adventhealth Palm Coast Parkway

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1861102345
  Care Compare affiliation
• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020
  Care Compare affiliation
• Flagler Hospital, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1447527965

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1629003579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HISTORIC BRICK LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958020",
            "telephone_number": "904-829-9919",
            "fax_number": "904-829-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARAPAHO AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844258",
            "telephone_number": "904-829-9919",
            "fax_number": "904-829-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUMAL",
        "first_name": "AMUDHA",
        "middle_name": "MANI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME76693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Quigley Perrin, R.D.
• Emily Perry, LCSW
• Lindsay Perry, DPT PT
• Rajesh Arun Persaud, M.D.
• Aditya Mani Perumal, PHARM D
• Brooke Michelle Perussina, PA C
• Pamela Pessel
• Amie Nichole Peterson, ARNP
• Marni Anna Peterson, LMFT, DMFT
• Anthony Robert Petrone, D.M.D.

• Neurology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.