DR. ANTON SURATH NISETUS DIAS PERERA (MD) – Vascular Surgery Physician, NPI 1336313170
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
62 VASCULAR SURGERY in AR
Provider Addresses for DR. ANTON SURATH NISETUS DIAS PERERA (MD)
312 S Rhodes St
West Memphis, AR 723014215
Phone: (901) 390-2930
Type: Location
306 S Rhodes St
West Memphis, AR 723014215
Phone: (901) 390-2930
Type: Location
176 Goodman Rd W
Southaven, MS 386719405
Phone: (901) 390-2930
Type: Location
8081 US Highway 51 N
Millington, TN 380531730
Phone: (901) 390-2930
Type: Location
1750 Madison Ave Fl 3
Suite 302
Memphis, TN 381046492
Phone: (901) 390-2930
Type: Location
1111 N Washington St
Forrest City, AR 723352150
Phone: (901) 390-2930
Type: Location
705 N State St
Clarksdale, MS 386146519
Phone: (901) 390-2930
Type: Location
6029, Walnut Grove Road, Memphis, Shelby County, Tennessee, 38120, United States
SUITE # 401
MEMPHIS, TN 381202112
Phone: (901) 747-3067
Fax: (901) 747-2966
Type: Mailing
1300 Sunset Dr Ste P
Grenada, MS 389014084
Phone: (901) 390-2930
Type: Location
1750 Madison Ave Ste 301
Memphis, TN 381046428
Phone: (901) 390-2930
Type: Location
405 River Rd
Greenwood, MS 389304212
Phone: (901) 390-2930
Type: Location
403 Getwell Dr
Senatobia, MS 386682213
Phone: (901) 390-2930
Type: Location
1355 W Brierbrook Rd
Germantown, TN 381382208
Phone: (901) 390-2930
Type: Location
2704 W Oxford Loop Ste 110
Oxford, MS 386555728
Phone: (901) 390-2930
Type: Location
1385 W BRIERBROOK RD
GERMANTOWN, TN 381382208
Phone: (901) 390-2930
Fax: (901) 390-2940
Type: Location
1375 W BRIERBROOK RD
GERMANTOWN, TN 381382208
Phone: (901) 390-2930
Fax: (901) 390-2940
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 166 Open Payments records for all available years, with a total value of $822,626.
Total Amount is formed as General ($822,626) + Research ($0) + Ownership ($0) = $822,626.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ConvaTec Inc. ($817,190).
Total Amount
$822,626
General + Research + Ownership
Payments
166
Total payment records
General Amount
$822,626
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $817,190 |
| Medtronic, Inc. | $2,854 |
| Abbott Laboratories | $807 |
| Philips Electronics North America Corporation | $546 |
| Philips North America LLC | $480 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100929001156 | I | Vascular Surgery | TN | TBD |
| I20110506000282 | I | Vascular Surgery | MS | TBD |
| I20200723000540 | I | Vascular Surgery | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 5,799 | 77 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 5,498 | 60 | $0 |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 1,435 | 22 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 780 | 531 | $0 |
| 93926 | Ultrasound of one leg arteries or artery grafts | 433 | 269 | $0 |
Insurance plans in this area (ZIP 72301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | MI | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | AR | |
| Vascular Surgery, General Surgery | TN | |
| - | TN | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TN |
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