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NPISignal

Individual Healthcare Provider

Anton Surath Nisetus Dias Perera, MD

NPI Record: ActiveSurgery — Vascular Surgery
NPI1336313170
Germantown, Tennessee

Provider's NPPES record last updated: January 22, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1336313170
Primary Specialty
Surgery — Vascular Surgery
Practice Location
Germantown, Tennessee
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:26 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Vascular Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

    Taxonomy code 2086S0129X
  • Surgery

    Allopathic & Osteopathic Physicians

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X

Provider-Reported License Information

Surgery (Tennessee)
45820
Surgery (Tennessee)
45820
Surgery (Arkansas)
E12898
Surgery (Mississippi)
21384
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1385 W Brierbrook Rd

Germantown, Tennessee 38138-2208

Phone: (901) 390-2930

Additional Practice Location

1355 W Brierbrook Rd

Germantown, Tennessee 38138-2208

Phone: (901) 390-2930

Additional Practice Location

312 S Rhodes St

West Memphis, Arkansas 72301-4215

Phone: (901) 390-2930

Additional Practice Location

306 S Rhodes St

West Memphis, Arkansas 72301-4215

Phone: (901) 390-2930

Additional Practice Location

176 Goodman Rd W

Southaven, Mississippi 38671-9405

Phone: (901) 390-2930

Additional Practice Location

8081 US Highway 51 N

Millington, Tennessee 38053-1730

Phone: (901) 390-2930

Additional Practice Location

1750 Madison Ave Fl 3

Suite 302

Memphis, Tennessee 38104-6492

Phone: (901) 390-2930

Additional Practice Location

1111 N Washington St

Forrest City, Arkansas 72335-2150

Phone: (901) 390-2930

Additional Practice Location

2704 W Oxford Loop Ste 110

Oxford, Mississippi 38655-5728

Phone: (901) 390-2930

Additional Practice Location

403 Getwell Dr

Senatobia, Mississippi 38668-2213

Phone: (901) 390-2930

Additional Practice Location

405 River Rd

Greenwood, Mississippi 38930-4212

Phone: (901) 390-2930

Additional Practice Location

1750 Madison Ave Ste 301

Memphis, Tennessee 38104-6428

Phone: (901) 390-2930

Additional Practice Location

1300 Sunset Dr Ste P

Grenada, Mississippi 38901-4084

Phone: (901) 390-2930

Additional Practice Location

705 N State St

Clarksdale, Mississippi 38614-6519

Phone: (901) 390-2930

Record Information

Enumeration Date
April 14, 2008
Provider's NPPES Record Last Updated
January 22, 2025
Certification Date
January 22, 2025
NPISignal NPPES Dataset
August 2026

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