Individual provider Active NPI

Smitha Rao Persaud, M.D.

  • Neurology Physician
  • Huntsville, AL
National Provider Identifier
1770629131
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
00027397 Issued in AL
Practice address
1425 Weatherly Rd SE
Huntsville, AL 35803-1178
Phone
(256) 881-5770
Fax
(256) 881-2228
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 00027397 AL Primary

Addresses

Primary practice location

1425 Weatherly Rd SE
Huntsville, AL 35803-1178

Mailing address

1425 Weatherly Rd SE
Huntsville, AL 35803-1178
Phone (256) 881-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20070410000665 AL Practitioner - Neurology 7517062169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1425 Weatherly Rd
Huntsville, AL 35803-1178
Phone (256) 881-5770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00027397ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smitha Rao Persaud, M.D., L.L.C. Neurology CurrentSince Mar 15, 2010 Accepting new patients
Ani, LLC Past Accepting new patients

Locations

1425 Weatherly Rd SE
Huntsville, AL 35803
Phone (256) 881-1111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEDDD/Endpoint/AFEDDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1770629131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 WEATHERLY RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358031178",
            "telephone_number": "256-881-5770",
            "fax_number": "256-881-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 WEATHERLY RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358031178",
            "telephone_number": "256-881-5770",
            "fax_number": "256-881-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "SMITHA",
        "middle_name": "RAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "00027397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.