Individual provider Active NPI

Bobby Kapil Desai, MD

  • Emergency Medicine Physician
  • Gainesville, FL
National Provider Identifier
1013986835
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME80459 Issued in FL
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

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
276686800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, IN, IL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
ME80459FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Friends Urgent Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jun 10, 2024 Accepting new patients
Pic Indiana PC CurrentSince Feb 26, 2024 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 PastSince Aug 1, 2024 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

  • Direct secure messaging: bobby.desai@166622370791428.direct.elationemr.com
  • Direct secure messaging: bobby.desai.1@22307.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.