NPIMap

Individual provider Active NPI

Teekaram Persaud, MD

  • Pulmonary Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1992701270
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
223596 Issued in NY
Practice address
1575 Hillside Avenue # 103
New Hyde Park, NY 11040-2501
Phone
(516) 352-1804
Fax
(516) 352-1449
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 223596 NY
Pulmonary Disease Physician 207RP1001X 223596 NY Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 223596 NY

Addresses

Primary practice location

1575 Hillside Avenue # 103
New Hyde Park, NY 11040-2501

Mailing address

9308 Queens Blvd # 1B1C
Rego Park, NY 11374-1135
Phone (718) 806-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000213 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7517902240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (718) 806-1434

Hospital & facility affiliations

  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
24.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223596NYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Services, LLC CurrentSince Jan 1, 2021 Accepting new patients
Jackson Height Medical Group, P.C. Current Accepting new patients
Mehta Medical PC PastSince Jul 1, 2020 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Patelsriramanllp Pulmonary Disease PastSince Sep 5, 2008 Accepting new patients
Ahmadur Rahman MD PC Past Accepting new patients

Locations

10201 66th Rd
Fl 2
Forest Hills, NY 11375
Phone (718) 830-1420

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 8

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 2

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1992701270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 QUEENS BLVD # 1B1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVENUE # 103",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402501",
            "telephone_number": "516-352-1804",
            "fax_number": "516-352-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "TEEKARAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "223596",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "223596",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "223596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.