Active NPI
Ian Persaud, M.D
- Internal Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101253200
- Practice address
- 549 E Brambleton Ave
Norfolk, VA 23510-2905 - Phone
- (757) 533-9441
- Fax
- (757) 446-1454
- NPI assigned
- Jan 31, 2008
- Last updated
- Apr 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101253200 | VA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 0213001912 | VA |
Addresses
Primary practice location
549 E Brambleton Ave
Norfolk, VA 23510-2905
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (757) 533-9441
Other practice location 1
48 Newmarket Sq
Newport News, VA 23605-2721
Phone (305) 621-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Norfolk, VA 23502
Phone (757) 354-2885
346 W Freemason St
Norfolk, VA 23510-1219
Phone (347) 523-1750
6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0213001912 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Virginia Holding, LLC | Current | Accepting new patients | |
| Mid-Atlantic Post Acute & Long Term Care PLLC | Internal Medicine | Current | Accepting new patients |
| SE Virginia Value Based Care, LLC | Current | Accepting new patients | |
| Heartwell Health, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| PMR Meds | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980
48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030
549 E Brambleton Ave
Norfolk, VA 23510
Phone (757) 393-1136
6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885
3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143
5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699
Organizations & group practices 5
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.
-
dba HeartWell Health
- Cardiovascular Disease Physician
- Norfolk, VA
- NPI 1427802974
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225557556
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225720501
-
dba Jencare Senior Medical Centers of Virginia
- Specialist
- Miami Gardens, FL
- NPI 1083167001
VA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Norfolk General Hospital
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1770761793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "757-533-9441",
"fax_number": "757-446-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "549 E BRAMBLETON AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102905",
"telephone_number": "757-533-9441",
"fax_number": "757-446-1454"
}
],
"practiceLocations": [
{
"address_1": "48 Newmarket Sq",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236052721",
"country_code": "US",
"telephone_number": "305-621-0023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERSAUD",
"first_name": "IAN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101253200",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0213001912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.