SAM PERSAD MD
NPI 1821153677
General Practice in Franklin, KY

Active since December 22, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 18D0325903 · Waiver
730 NORTH MAIN STREET, FRANKLIN, KY 42134(270) 586-7053 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sam Persad Md NPPES

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

SAM PERSAD MD (NPI 1821153677) is an individual general practice provider in Franklin, Kentucky, licensed in Kentucky (18333) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with The Medical Center (bowling Green).

NPPES Registry Identity

NPI1821153677
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSAM PERSADCredential: MD
Location Address730 NORTH MAIN STREETFranklin, KY 42134-1332
Mailing Address730 North Main StreetFranklin, KY 42134-1332 · (270) 586-7053
Sole ProprietorNo
Medical School CMSOtherGraduated 1968
Enumeration DateDecember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1821153677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in KY · 18333
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
730 NORTH MAIN STREET, Franklin, KY 42134

Other Identifiers 3

Medicare UPINC69719
Medicare ID-Type Unspecified1067101
Medicaid64183338KY

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

Sam Persad Md 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 ID8921149824
PECOS Enrollment IDI20100113000693
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0325903

Sam Persad MD · Franklin, KY
Active · expires Aug 31, 2026
CLIA Number18D0325903
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSam Persad
Laboratory Phone(502) 586-7053
Laboratory LocationSam Persad MD730 N Main, Franklin, KY 42134
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.
341 services77 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181318
Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims23 services$5.48 avg. paid by Medicare
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
2 suppliers15 claims15 services$186.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sam Persad's NPI number?

The NPI number for Sam Persad is 1821153677. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Sam Persad located?

Sam Persad practices at 730 North Main Street, Franklin, KY 42134. The listed phone number is (270) 586-7053.

What is Sam Persad's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sam Persad enrolled in Medicare?

Yes. Sam Persad 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.

Does Sam Persad hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0325903) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sam Persad affiliated with any hospitals?

According to CMS data, Sam Persad is affiliated with The Medical Center (bowling Green) and The Medical Center At Franklin.

When was this NPI record last updated?

The NPPES record for Sam Persad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.