Active NPI
Divya Madhuri Persaud, APRN
- Family Nurse Practitioner
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11010661
- Practice address
- 102 Park Place Blvd
Kissimmee, FL 34741-2358 - Phone
- (407) 944-4900
- NPI assigned
- Feb 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11010661 | FL | Primary |
Addresses
Primary practice location
102 Park Place Blvd
Kissimmee, FL 34741-2358
Mailing address
102 Park Place Blvd
Kissimmee, FL 34741-2358
Phone (407) 944-4900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10743 Narcoossee Rd
Suite 18B
Orlando, FL 32832-6944
Phone (407) 851-5600
3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-7333
3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 851-5600
7243 Della Dr
Orlando, FL 32819-5104
Phone (305) 468-4185
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.04 of 100
- Quality
- 65.4
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010661 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Health, LLC | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Gastro Health LLC | Current | Accepting new patients | |
| Gastro Health, LLC | Current | Accepting new patients | |
| The Florida Foot and Ankle Institute | Current | Accepting new patients | |
| Galloway Anesthesia Associates LLC | Past | Accepting new patients |
Locations
4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700
102 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 385-0728
3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333
10743 Narcoossee Rd
Ste 18B
Orlando, FL 32832
7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366
3885 Oakwater Cir
Ste 144
Orlando, FL 32806
9964 University Blvd
Orlando, FL 32817
Phone (407) 261-2900
Interoperability endpoints
- dpersaud231633@orlandohealth.medalliesdirect.net
- divya.persaud@gastrohealth.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1487767133
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
-
- Gastroenterology Physician
- Orlando, FL
- NPI 1568194306
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Foot & Ankle Surgery Podiatrist
- Kissimmee, FL
- NPI 1669046256
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1700477684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 PARK PLACE BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412358",
"telephone_number": "407-944-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PARK PLACE BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412358",
"telephone_number": "407-944-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "DIVYA",
"middle_name": "MADHURI",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11010661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.