NPIMap

Individual provider Active NPI

Rohan K Desai, M.D.

  • Nephrology Physician
  • Orange City, FL
National Provider Identifier
1043223308
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME96679 Issued in FL
Practice address
2877 Wellness Ave
Orange City, FL 32763-8396
Phone
(386) 668-4650
Fax
(386) 668-4649
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME96679 FL Primary

Addresses

Primary practice location

2877 Wellness Ave
Orange City, FL 32763-8396

Mailing address

2877 Wellness Ave
Orange City, FL 32763-8396
Phone (386) 668-4650

Other identifiers 2

IdentifierTypeStateIssuer
AD787YOtherFLMEDICARE PTAN
280213900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000644 FL Practitioner - NephrologyPractitioner - Internal Medicine 0143311050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Kidney and Hypertension Specialists PAGroup PAC ID 2860558673, 8 clinicians

Practice addresses (Care Compare)

2877 Wellness Ave
Orange City, FL 32763-8396
Phone (386) 668-4650

Hospital & facility affiliations

  • DaVita Deltona Dialysis Dialysis facility, Deltona, FL, CCN 102616
  • DaVita Deland Dialysis Dialysis facility, Deland, FL, CCN 102573
  • DaVita Orange City Dialysis Dialysis facility, Orange City, FL, CCN 102775
  • Lakes Dialysis Center Dialysis facility, Miami Lakes, FL, CCN 682511
  • DaVita Deland Home Training Dialysis facility, Deland, FL, CCN 682767
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
  • Halifax Health /Uf Health Medical Center of Delton Hospital, Deltona, FL, CCN 100330
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney and Hypertension Specialists PA CurrentSince Sep 1, 2008 Accepting new patients
Daytona Beach Vascular Access, LLC PastSince May 28, 2023 Accepting new patients
Volusia-Flagler Vascular Center LLC PastSince Feb 1, 2010 Accepting new patients

Locations

2877 Wellness Ave
Orange City, FL 32763
Phone (386) 668-4650

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGEFBD/Endpoint/IGEFBD

Organizations & group practices 3

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 12

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1043223308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 WELLNESS AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638396",
            "telephone_number": "386-668-4650",
            "fax_number": "386-668-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 WELLNESS AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638396",
            "telephone_number": "386-668-4650",
            "fax_number": "386-668-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ROHAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME96679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AD787Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280213900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.