Active NPI
Bianca Persaud, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1962723924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 271312
- Practice address
- 220 13TH St
Brooklyn, NY 11215-4802 - Phone
- (718) 832-1916
- Fax
- (718) 832-5991
- NPI assigned
- Jun 14, 2010
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 271312 | NY | Primary |
Addresses
Primary practice location
220 13TH St
Brooklyn, NY 11215-4802
Mailing address
220 13TH St
Brooklyn, NY 11215-4802
Phone (718) 832-1916
Other practice location 1
4615 Fairmont Pkwy # 100
Pasadena, TX 77504-3311
Phone (713) 461-2915
Other names 1
- Bianca Felicia Delacruz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
102 N Friendswood Dr
Friendswood, TX 77546-3747
Phone (346) 646-3726
Hospital & facility affiliations
- HCA Houston Healthcare Southeast
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271312 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagemd of Southeast Texas, PA | Internal Medicine | Current | Accepting new patients |
| Village Family Practice, L.L.P | Internal Medicine | Current | Accepting new patients |
| NYU Lutheran Medical Center | Past | Accepting new patients |
Locations
102 N Friendswood Dr
Friendswood, TX 77546
Phone (281) 992-3431
9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701
9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954
9235 Katy Fwy
Ste 400
Houston, TX 77024
Phone (346) 980-2701
4615 Fairmont Pkwy
#100
Pasadena, TX 77504
Phone (346) 398-7250
Interoperability endpoints
- bianca.persaud.1@13711.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1841643327
Internal Medicine
-
- Family Medicine Physician
- Houston, TX
- NPI 1083619191
Internal Medicine
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1538111653
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, TX
- NPI 1174576698
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1962723924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 13TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154802",
"telephone_number": "718-832-1916",
"fax_number": "718-832-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 13TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154802",
"telephone_number": "718-832-1916",
"fax_number": "718-832-5991"
}
],
"practiceLocations": [
{
"address_1": "4615 Fairmont Pkwy # 100",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775043311",
"country_code": "US",
"telephone_number": "713-461-2915",
"fax_number": "713-474-8131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERSAUD",
"first_name": "BIANCA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-14",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "271312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BIANCA",
"last_name": "DELACRUZ",
"middle_name": "FELICIA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.