Individual provider Active NPI

Desiderio Pina, MD, MPH

  • Psychiatry Physician
  • Beavercreek, OH
National Provider Identifier
1043206998
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-083573 Issued in OH
Practice address
2542 King Charles St
Suite: B
Beavercreek, OH 45431-5719
Phone
(937) 320-1880
Fax
(937) 320-1880
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD477618 PA
Psychiatry Physician 2084P0800X 35-083573 OH Primary
Psychiatry Physician 2084P0800X 211611 NY
Psychiatry Physician 2084P0800X 221611 NY

Addresses

Primary practice location

2542 King Charles St
Suite: B
Beavercreek, OH 45431-5719

Mailing address

3195 Dayton Xenia Rd Ste 900-386
Beavercreek, OH 45434-6390
Phone (937) 244-9812

Other practice location 1

7265 Old Oak Blvd
Cleveland, OH 44130-3342
Phone (440) 816-5790

Other practice location 2

351 W Schuylkill Rd Ste G-15A
Pottstown, PA 19465-7438
Phone (610) 326-9460

Other practice location 3

8401 Harcourt Rd
Indianapolis, IN 46260-2036
Phone (317) 338-4600

Other practice location 4

18697 Bagley Rd
Cleveland, OH 44130-3417
Phone (440) 816-8200

Other practice location 5

953 S South St
Wilmington, OH 45177-2921
Phone (937) 383-4441

Other identifiers 1

IdentifierTypeStateIssuer
2447598MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dpina267735@direct.urmc.rochester.edu Direct
Direct Messaging Address dpina267735@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, NY, NC, PA, IL, KY7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20040128001185 OH Practitioner - Psychiatry 2961305867 Reassigns benefits to 3 organizations
I20100818000247 IN Practitioner - Psychiatry 2961305867 Reassigns benefits to 3 organizations
I20211112001813 NY Practitioner - Psychiatry 2961305867 Reassigns benefits to 2 organizations
I20220105002945 NC Practitioner - Psychiatry 2961305867 Reassigns benefits to 3 organizations
I20230202001861 PA Practitioner - Psychiatry 2961305867 Reassigns benefits to 3 organizations
I20230202002797 IL Practitioner - Psychiatry 2961305867 Reassigns benefits to 2 organizations
I20230713004013 KY Practitioner - Psychiatry 2961305867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211611NYMDPsychiatry Physician
35-083573OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Current Accepting new patients
Southeastern Regional Medical Center Current Accepting new patients
University of Rochester CurrentSince Jul 16, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Oct 1, 2021 Accepting new patients
Southeastern Regional Medical Center Psychiatry CurrentSince Dec 6, 2021 Accepting new patients
University of Rochester CurrentSince Jul 16, 2022 Accepting new patients
Southeastern Regional Medical Center CurrentSince Dec 6, 2021 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Feb 1, 2022 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
St Joseph Medical Group Inc Psychiatry CurrentSince Dec 1, 2011 Accepting new patients
St Joseph Medical Group Inc CurrentSince Dec 1, 2011 Accepting new patients
Community Health and Dental Care, Inc CurrentSince Oct 5, 2023 Accepting new patients
Parkview Health System Inc CurrentSince Jan 1, 2015 Accepting new patients
Community Health and Dental Care, Inc CurrentSince Oct 5, 2023 Accepting new patients
Greene Memorial Hospital Services Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
South Suburban Mental Health Group Psychiatry Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Amita R. Patel, M.D., Inc. PastSince Jul 1, 1996 Accepting new patients

Locations

250 Parkway Dr
Ste 150
Lincolnshire, IL 60069
Phone (847) 480-1346

550 Congressional Blvd
Ste 115
Carmel, IN 46032

7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2298

2700 Lafayette St
Fort Wayne, IN 46806
Phone (219) 745-5415

1909 Carew St
Fort Wayne, IN 46805
Phone (260) 481-2800

800 Broadway
Ste 204
Fort Wayne, IN 46802
Phone (260) 420-4884

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

250 Main St
Ste 420
Lafayette, IN 47901
Phone (219) 885-3441

101 N 7th St
Louisville, KY 40202
Phone (502) 561-3464

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

555 Fayetteville St
Ste 201
Raleigh, NC 27601
Phone (919) 780-4178

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

9435 Waterstone Blvd
Ste 140
Cincinnati, OH 45249
Phone (513) 642-9599

1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 739-8926

1900 Market St
Ofc 6167
Philadelphia, PA 19103

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193

351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • Direct secure messaging: dpina267735@direct.urmc.rochester.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 20

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

View all 20

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1043206998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
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            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346390",
            "telephone_number": "937-244-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 KING CHARLES ST",
            "address_2": "SUITE: B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454315719",
            "telephone_number": "937-320-1880",
            "fax_number": "937-320-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7265 Old Oak Blvd",
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            "postal_code": "441303342",
            "country_code": "US",
            "telephone_number": "440-816-5790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 W Schuylkill Rd Ste G-15A",
            "address_purpose": "LOCATION",
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            "postal_code": "194657438",
            "country_code": "US",
            "telephone_number": "610-326-9460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Harcourt Rd",
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            "fax_number": "317-338-4750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18697 Bagley Rd",
            "address_purpose": "LOCATION",
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            "postal_code": "441303417",
            "country_code": "US",
            "telephone_number": "440-816-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "953 S South St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772921",
            "country_code": "US",
            "telephone_number": "937-383-4441",
            "fax_number": "937-383-2916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINA",
        "first_name": "DESIDERIO",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD477618",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
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            "state": "OH",
            "license": "35-083573",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "211611",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "221611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2447598",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpina267735@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpina267735@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.