MIRANDA KAVITA PERSAUD (PA-C) – Pain Medicine Physician, NPI 1619601671
Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MIRANDA KAVITA PERSAUD (PA-C)
3750 San Jose Pl Ste 35
Jacksonville, FL 322578861
Phone: (904) 902-4126
Fax: (904) 902-3926
Type: Location
3750 SAN JOSE PL STE 35
JACKSONVILLE, FL 322578861
Phone: (904) 902-4126
Fax: (904) 902-3926
Type: Location
6710 COLLINS RD APT 2509
JACKSONVILLE, FL 322445888
Phone: (754) 422-6886
Type: Mailing
6710 Collins Rd Apt 2509
Jacksonville, FL 322445888
Phone: (754) 422-6886
Type: Location
PO BOX 1268
NEW SMYRNA BEACH, FL 321701268
Phone: (386) 259-8803
Fax: (386) 213-9981
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20220721000197 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 1,628 | 373 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 317 | 273 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 232 | 137 | $0 |
Insurance plans in this area (ZIP 32257)
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