Individual provider Active NPI

Rima Rasesh Desai, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1003185679
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45237 Issued in KY
Practice address
2337 Clydes Xing
Cincinnati, OH 45244-2800
Phone
(513) 497-2549
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 45237 KY Primary

Addresses

Primary practice location

2337 Clydes Xing
Cincinnati, OH 45244-2800

Mailing address

2337 Clydes Xing
Cincinnati, OH 45244-2800
Phone (513) 497-2549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121219000493 KY Practitioner - Internal Medicine 8426200437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Health Corporation, Inc. 268 clinicians

Practice addresses (Care Compare)

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178

427 US 31W Byp
Bowling Green, KY 42101-1703
Phone (270) 796-8000

825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786

Hospital & facility affiliations

  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45237KYMDInternal Medicine Physician

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Oct 15, 2015 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Oct 15, 2015 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Commonwealth Health Corporation, Inc. Internal Medicine PastSince Oct 1, 2019 Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

1901 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 393-0005

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

427 US 31W Byp
Bowling Green, KY 42101
Phone (270) 796-8000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

Networks

  • KY PPO
  • TN PPO
  • KY PPO C-SNP
  • TN PPO C-SNP

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1003185679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 CLYDES XING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452442800",
            "telephone_number": "513-497-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 CLYDES XING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452442800",
            "telephone_number": "513-497-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "RIMA",
        "middle_name": "RASESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "45237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.