Active NPI
Mina C Desai, MD
- Anesthesiology Physician
- Mission, TX
National Provider Identifier
1093765620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- H9064
- Practice address
- 900 S. Bryan Road
Mission, TX 78572-6613 - Phone
- (956) 323-1808
- Fax
- (956) 323-1817
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | H9064 | TX | Primary |
Addresses
Primary practice location
900 S. Bryan Road
Mission, TX 78572-6613
Mailing address
900 S. Bryan Road
Mission, TX 78572-6613
Phone (956) 323-1808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126537305 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9064 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Doctors Group | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1093765620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S. BRYAN ROAD",
"city": "MISSION",
"state": "TX",
"postal_code": "785726613",
"telephone_number": "956-323-1808",
"fax_number": "956-323-1817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S. BRYAN ROAD",
"city": "MISSION",
"state": "TX",
"postal_code": "785726613",
"telephone_number": "956-323-1808",
"fax_number": "956-323-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "MINA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "H9064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126537305",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.