Individual provider Active NPI

Shelley Nadira Persaud, MD

  • Internal Medicine Physician
  • Trinity, FL
National Provider Identifier
1902434087
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME163286 Issued in FL
Practice address
9330 State Road 54
Trinity, FL 34655-1808
Phone
(727) 834-4000
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 083912 CT
Internal Medicine Physician 207R00000X ME163286 FL Primary
Internal Medicine Physician 207R00000X 338566 NY

Addresses

Primary practice location

9330 State Road 54
Trinity, FL 34655-1808

Mailing address

9330 State Road 54
Trinity, FL 34655-1808

Other practice location 1

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI, FL, GA, NY, CT, MI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20231017001188 VI Practitioner - Internal Medicine 3476908005 Reassigns benefits to 1 organization
I20241001002323 FL Practitioner - Internal Medicine 3476908005 Reassigns benefits to 2 organizations
I20250613002089 GA Practitioner - Internal Medicine 3476908005 Reassigns benefits to 1 organization
I20250917002608 NY Practitioner - Internal Medicine 3476908005 Reassigns benefits to 1 organization
I20260409003177 CT Practitioner - Internal Medicine 3476908005 Reassigns benefits to 1 organization
I20260610003323 MI Practitioner - Internal Medicine 3476908005

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Medical Physician Associates PCGroup PAC ID 6709226350, 208 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Vituity - Michigan Hospitalists PCGroup PAC ID 2365860996, 76 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000

9330
54 Medical Center of Trinity
Trinity, FL 34655-1808
Phone (727) 845-9115

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
083912CTMDInternal Medicine Physician
ME163286FLMDInternal Medicine Physician
338566NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC CurrentSince Sep 11, 2025 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Sep 11, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Sep 17, 2023 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Sep 17, 2023 Accepting new patients
Southland Hospitalist Group, LLC CurrentSince Mar 9, 2025 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Oct 7, 2024 Accepting new patients
Inpatient Care Specialists LLC CurrentSince Sep 1, 2024 Accepting new patients
MVHS Inc Past Accepting new patients
Southland Select Hospitalist Group, LLC Internal Medicine Past Accepting new patients
MVHS Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: spersaud55066@mvhealthsystem.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1902434087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 STATE ROAD 54",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 STATE ROAD 54",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551808",
            "telephone_number": "727-834-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135022517",
            "country_code": "US",
            "telephone_number": "315-917-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "SHELLEY",
        "middle_name": "NADIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "083912",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME163286",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "338566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.