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

Ryan J Pereira, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1033195979

Ryan J Pereira, DPM is a Podiatry in St Augustine, Florida. Graduated from Kent State University College of Podiatric Medicine in 2000, 26 years ago. Practices with Anastasia Medical Group, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
26
Trained at
Kent State University College of Podiatric Medicine
Licensed in
FL
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1301 Plantation Island Dr S Ste 203
St Augustine, FL 32080-3108
Phone: (904) 461-0821
Fax: (904) 461-0823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3002 (FL)

Record details

NPI number1033195979
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2000 (26 years in practice)
Group practice Anastasia Medical Group, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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