Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jayson Robert Pereira, MD

Individual provider Emergency Medicine Physician · NPI 1104036912

Dr. Jayson Robert Pereira, MD is an Emergency Medicine in Woodbury, Minnesota. Graduated from University of Pittsburgh School of Medicine in 2004, 22 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Minnesota.

Years since qualifying
22
Trained at
University of Pittsburgh School of Medicine
Licensed in
MA, MN
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

155 Radio Dr
Woodbury, MN 55125-2619
Phone: (952) 831-8742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 — (952) 835-9880

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 52029 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 52029 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 232248 (MA)

Record details

NPI number1104036912
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Woodbury