Individual provider Active NPI

Neel Sunil Desai, M.D.

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1083952436
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD464794 Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140
Phone
(215) 707-4600
Fax
(215) 707-9697
NPI assigned
Jan 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X MD464794 PA Primary

Addresses

Primary practice location

3401 N Broad St
Philadelphia, PA 19140

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-4600

Other practice location 1

1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone (732) 235-7742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA, TX, MS, MD, NC, ME, NH, CT, WV, FL12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20131030001332 NJ Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Critical Care (Intensivists) 2668607524 Reassigns benefits to 3 organizations
I20170906000736 NY Practitioner - NephrologyPractitioner - Critical Care (Intensivists) 2668607524
I20180803001912 PA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2668607524 Reassigns benefits to 4 organizations
I20230724001924 TX Practitioner - Nephrology 2668607524
I20240522002473 MS Practitioner - Critical Care (Intensivists) 2668607524 Reassigns benefits to 2 organizations
I20250103000652 MD Practitioner - Nephrology 2668607524 Reassigns benefits to 1 organization
I20250325000123 NC Practitioner - NephrologyPractitioner - Internal Medicine 2668607524 Reassigns benefits to 1 organization
I20250715004039 ME Practitioner - Nephrology 2668607524 Reassigns benefits to 1 organization
I20250715004086 NH Practitioner - Nephrology 2668607524 Reassigns benefits to 1 organization
I20250808003674 CT Practitioner - Nephrology 2668607524 Reassigns benefits to 1 organization
I20250904004440 WV Practitioner - Nephrology 2668607524 Reassigns benefits to 1 organization
I20260224004219 FL Practitioner - Nephrology 2668607524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Nephrology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ccmma NJ LLCGroup PAC ID 8123392495, 31 clinicians

Practice addresses (Care Compare)

268 Edgerstoune Rd
Princeton, NJ 08540-6718
Phone (845) 702-2711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288596NYMDLicensed Practical Nurse
MD464794PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copiah County Medical Center CurrentSince May 1, 2024 Accepting new patients
Critical Care Physicians of New Jersey PC CurrentSince Aug 1, 2022 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 10, 2019 Accepting new patients
Ccmma NJ LLC CurrentSince Jan 1, 2023 Accepting new patients
Monogram Health Professional Services of New Jersey LLC Nephrology CurrentSince Aug 2, 2024 Accepting new patients
Monogram Health Professional Services of Florida LLC Nephrology CurrentSince Feb 4, 2026 Accepting new patients
Copiah County Medical Center CurrentSince May 1, 2024 Accepting new patients
Monogram Health Professional Services of North Carolina PC Nephrology CurrentSince Jan 26, 2025 Accepting new patients
Critical Care Physicians of Pennsylvania PC CurrentSince Feb 1, 2019 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Ccmma Ca PC CurrentSince May 31, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 10, 2019 Accepting new patients
Greenwood Leflore Hospital CurrentSince Jun 1, 2024 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Aug 2, 2024 Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients
Kennedy Medical Group Practice, P.C. Past Accepting new patients

Locations

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

1 Tara Blvd
Ste 200
Nashua, NH 03062
Phone (603) 242-2296

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5410 Maryland Way
Ste 400
Brentwood, TN 37027

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116

Interoperability endpoints

  • Direct secure messaging: neel.desai.1@22854.direct.athenahealth.com
  • Direct secure messaging: ndesai1254512@direct.sw.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1083952436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-4600",
            "fax_number": "215-707-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "215-707-4600",
            "fax_number": "215-707-9697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robert Wood Johnson Pl",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011928",
            "country_code": "US",
            "telephone_number": "732-235-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NEEL",
        "middle_name": "SUNIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD464794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.