Active NPI
Harry Persaud, MD
- Cardiovascular Disease Physician
- Westlake, OH
National Provider Identifier
1922103258
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 18, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 056175
- Practice address
- 29099 Health Campus Drive
Suite 110 BLDG #3
Westlake, OH 44145 - Phone
- (440) 835-6169
- Fax
- (440) 892-6514
- NPI assigned
- Sep 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 056175 | OH | Primary |
Addresses
Primary practice location
29099 Health Campus Drive
Suite 110 BLDG #3
Westlake, OH 44145
Mailing address
29099 Health Campus Drive
Suite 110 BLDG #3
Westlake, OH 44145
Phone (440) 835-6169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0721857 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1922103258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29099 HEALTH CAMPUS DRIVE",
"address_2": "SUITE 110 BLDG #3",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145",
"telephone_number": "440-835-6169",
"fax_number": "440-892-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29099 HEALTH CAMPUS DRIVE",
"address_2": "SUITE 110 BLDG #3",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145",
"telephone_number": "440-835-6169",
"fax_number": "440-892-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "HARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "056175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0721857",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.