Individual provider Active NPI

Nita S Desai, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Memphis, TN
National Provider Identifier
1043264443
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
17768 Issued in TN
Practice address
3000 Getwell Rd
Memphis, TN 38118-2205
Phone
(901) 268-8620
Fax
(901) 877-7991
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X MD0000017768 TN
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 17768 TN Primary

Addresses

Primary practice location

3000 Getwell Rd
Memphis, TN 38118-2205

Mailing address

PO Box 17171
Memphis, TN 38187-0171
Phone (901) 877-7897

Other identifiers 2

IdentifierTypeStateIssuer
P00054180OtherTNRAILROAD MEDICARE
3079276MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040729001453 TN Practitioner - Psychiatry 5395715965 Reassigns benefits to 2 organizations
Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 Getwell Rd
Memphis, TN 38118-2205
Phone (901) 877-7897

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17768TNMDAddiction Medicine (Psychiatry & Neurology) Physician
MD0000017768TNMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services CurrentSince Feb 14, 2014 Accepting new patients
Nita S Desai Addiction Medicine CurrentSince Oct 1, 2022 Accepting new patients
Alliance Healthcare Services CurrentSince Feb 14, 2014 Accepting new patients
Psycare LLC PastSince Dec 1, 2018 Accepting new patients
Julia K. Putnam Past Accepting new patients
Memphis Psychiatric and Addiction Clinic, PC Addiction Medicine PastSince Dec 23, 1996 Accepting new patients

Locations

2911 Brunswick Rd
Bartlett, TN 38133
Phone (901) 373-0905

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

3000 Getwell Rd
Memphis, TN 38118
Phone (901) 369-8100

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

Interoperability endpoints

  • Direct secure messaging: desai_nita_md@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1043264443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17171",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870171",
            "telephone_number": "901-877-7897",
            "fax_number": "901-877-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182205",
            "telephone_number": "901-268-8620",
            "fax_number": "901-877-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NITA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TN",
            "license": "MD0000017768",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TN",
            "license": "17768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00054180",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079276",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.