RAJINDER PERSAUD DO
NPI 1205455094
Pediatrics - Sports Medicine in Clearwater, FL

Active since April 11, 2020PECOS Enrolled
14100 58TH ST N, CLEARWATER, FL 33760(561) 360-8585 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 6, 2024, May 20, 2020, Apr 11, 2020 (3 updates tracked since 2020).

About Rajinder Persaud Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAJINDER PERSAUD DO (NPI 1205455094) is an individual sports medicine provider in Clearwater, Florida, licensed in Florida (21091) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Lauderdale.

NPPES Registry Identity

NPI1205455094
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameRAJINDER PERSAUDCredential: DO
Location Address14100 58TH ST NClearwater, FL 33760-9900
Mailing Address14100 58th St NClearwater, FL 33760-9900 · (561) 360-8585
Sole ProprietorNo
Enumeration DateApril 11, 2020
Last NPPES UpdateSeptember 6, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1205455094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in FL · 21091
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
14100 58TH ST N, Clearwater, FL 33760

Secondary Practice Location 1

Location 11600 S Andrews AveFort Lauderdale, FL 33316-2510 · Phone (954) 459-2094

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rajinder Persaud Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rajinder Persaud reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
14100 58TH ST N STE 100
Clearwater, FL 33760
  • Reassigned Medicare billing, Florida enrollment
  • 131 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Obstetrics & Gynecology (Obstetrics)
14100 58TH ST N
CLEARWATER, FL 33760
General Practice
14100 58TH ST N
CLEARWATER, FL 33760
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Physical Therapist
14100 58TH ST N
CLEARWATER, FL 33760
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Social Worker (Clinical)
14100 58TH ST N
CLEARWATER, FL 33760
Pharmacist (Ambulatory Care)
14100 58TH ST N
CLEARWATER, FL 33760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rajinder Persaud's NPI number?

The NPI number for Rajinder Persaud is 1205455094. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Rajinder Persaud located?

Rajinder Persaud practices at 14100 58th St N, Clearwater, FL 33760. The listed phone number is (561) 360-8585.

What is Rajinder Persaud's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Rajinder Persaud enrolled in Medicare?

Yes. Rajinder Persaud is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rajinder Persaud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajinder Persaud reassigns Medicare benefits to Community Health Center Of Pinellas Inc (Clearwater, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rajinder Persaud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajinder Persaud accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Rajinder Persaud as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rajinder Persaud was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.