NPIMap

Individual provider Active NPI

Shwetal G. Desai, M.D.

  • Internal Medicine Physician
  • Fairfield, OH
National Provider Identifier
1083687248
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35062029 Issued in OH
Practice address
5157 Pleasant Ave
Fairfield, OH 45014-2622
Phone
(513) 863-4717
Fax
(513) 863-5118
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35062029 OH Primary

Addresses

Primary practice location

5157 Pleasant Ave
Fairfield, OH 45014-2622

Mailing address

5157 Pleasant Ave
Fairfield, OH 45014-2622
Phone (513) 863-4717

Other identifiers 1

IdentifierTypeStateIssuer
0886822MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031113000505 OH Practitioner - Internal Medicine 6709790884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5157 Pleasant Ave
Fairfield, OH 45014-2622
Phone (513) 863-4717

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062029OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Southwest Ohio, Inc. Past Accepting new patients
Mercy Health - Fairfield Hospital LLC Past Accepting new patients
Mobile Dexa Services LLC PastSince Oct 1, 2003 Accepting new patients
Deaconess Healthcare Services Co Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sdesai4002@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1083687248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5157 PLEASANT AVE",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142622",
            "telephone_number": "513-863-4717",
            "fax_number": "513-863-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5157 PLEASANT AVE",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142622",
            "telephone_number": "513-863-4717",
            "fax_number": "513-863-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHWETAL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35062029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0886822",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.