Thierry Desir, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601002467 Issued in MI

Practice address

4201 Saint Antoine St
Detroit, MI 48201-2153

Phone

(313) 745-3000

NPI assigned

Mar 29, 2007

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kare Masters Home Health, LLC Home health agency, Farmington Hills, MI, CCN 239338
• Safe Hands Home Health Care Home health agency, Farmington Hills, MI, CCN 239025
• New Century Home Health Care Home health agency, Madison Heights, MI, CCN 237453

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Desir Medical LLC

  • Clinic/Center
  • W Bloomfield, MI
  • NPI 1982275723
  Medicare reassignment Authorized official
• Center for New Life

  • Clinic/Center
  • Hamtramck, MI
  • NPI 1730851361
  NPD Authorized official
• Sylmara E. Chatman M.D. P.C.

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1831413749
  Medicare reassignment
• DPVM LLC

  • Family Medicine Physician
  • Northville, MI
  • NPI 1326716804
  NPD
• Health Centers Detroit Foundation, Inc.

  dba Health Centers Detroit Medical Group

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1770657785
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kare Masters Home Health LLC

  • Home Health Agency
  • Livonia, MI
  • NPI 1174121370
  Care Compare affiliation
• New Century Home Health Care, Inc.

  • Home Health Agency
  • Madison Heights, MI
  • NPI 1821103144
  Care Compare affiliation
• Safe Hands Home Health Care, LLC

  • Home Health Agency
  • Farmington Hills, MI
  • NPI 1992963326
  Care Compare affiliation

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1063531960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # 7A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIR",
        "first_name": "THIERRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5601002467",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002467",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desh Pharmacy LLC (Desh Pharmacy)
• Andrea Veronica Deshields-Thomas, LBSW
• Vasan H Deshikachar, M.D.,
• Bailee Jeanne Deshler
• Vincent M Desiato, DO
• Alissa Desjardins, OTRL
• Catherine Deslandres, OTR
• Kathryn Deslauries
• Robert C. Destefano, CRNA
• Destiny of Hope Outreach Ministry Church

• Physician Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.