DEVICKA PERSAUD DO
NPI 1801965371
Family Medicine in South Richmond Hill, NY

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
11512 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419(718) 641-3389 Get Directions Write a Review

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devicka Persaud Do NPPES

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

DEVICKA PERSAUD DO (NPI 1801965371) is an individual family medicine provider in South Richmond Hill, New York, licensed in New York (198493) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1993).

NPPES Registry Identity

NPI1801965371
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEVICKA PERSAUDCredential: DO
Location Address11512 LIBERTY AVESouth Richmond Hill, NY 11419-1902
Mailing Address11512 Liberty AveSouth Richmond Hill, NY 11419-1902 · (718) 641-3389
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1993
Enumeration DateNovember 7, 2006
Last NPPES UpdateNovember 21, 2012
NPI 1801965371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 198493
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11512 LIBERTY AVE, South Richmond Hill, NY 11419

Other Identifiers 1

Medicare UPING55240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Devicka Persaud Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032196548
PECOS Enrollment IDI20040702000057
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
166 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11419 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers27 claims27 services$185.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Medical)
11512 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419
Family Medicine
11512 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419
Dentist
11512 LIBERTY AVE, 2B
SOUTH RICHMOND HILL, NY 11419

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 Devicka Persaud's NPI number?

The NPI number for Devicka Persaud is 1801965371. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Devicka Persaud located?

Devicka Persaud practices at 11512 Liberty Ave, South Richmond Hill, NY 11419. The listed phone number is (718) 641-3389.

What is Devicka Persaud's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Devicka Persaud enrolled in Medicare?

Yes. Devicka Persaud is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Devicka Persaud was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.