Active NPI
Bobby Kapil Desai, MD
- Emergency Medicine Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME80459
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3003 - Phone
- (352) 265-5911
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME80459 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3003
Mailing address
PO Box 918025
Orlando, FL 32891-8025
Phone (352) 365-5911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276686800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240126002558 | PA | Practitioner - Emergency Medicine | 5799772166 | Reassigns benefits to 1 organization |
| I20240227000576 | NY | Practitioner - Emergency Medicine | 5799772166 | Reassigns benefits to 1 organization |
| I20240315000451 | IN | Practitioner - Emergency Medicine | 5799772166 | Reassigns benefits to 1 organization |
| I20240503002647 | IL | Practitioner - Emergency Medicine | 5799772166 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80459 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friends Urgent Care LLC | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Sparkling Sea Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Pippen Health of California, P.C., a California Professional Corporati | Past | Accepting new patients | |
| Zhang Medical Group LLC | Past | Accepting new patients |
Locations
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
800 W Fulton Market
Fl 12
Chicago, IL 60607
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
416 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 979-1112
3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051
1113 W 7th St
Auburn, IN 46706
Phone (260) 909-5163
123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305
1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582
1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176
102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224
630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091
505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135
1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115
2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128
917 Arch St
Ste 107
Philadelphia, PA 19107
Phone (267) 703-2345
Interoperability endpoints
- bobby.desai@166622370791428.direct.elationemr.com
- bobby.desai.1@22307.direct.athenahealth.com
- bobby.desai@337577483108356.direct.elationemr.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1013792514
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1467549014
Emergency Medicine
-
- Family Nurse Practitioner
- Paoli, PA
- NPI 1750159679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1013986835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 918025",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328918025",
"telephone_number": "352-365-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "352-265-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "BOBBY",
"middle_name": "KAPIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME80459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276686800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.