Individual provider Active NPI

Pooja Desai, M.D.

  • Pediatric Cardiology Physician
  • Dallas, TX
National Provider Identifier
1093945172
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
S7417 Issued in TX
Practice address
12201 Merit Dr Ste 550
Dallas, TX 75251-3131
Phone
(972) 331-9700
Fax
(972) 331-9833
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 04-37769 KS
Pediatrics Physician 208000000X BP10034801 TX
Pediatric Cardiology Physician 2080P0202X S7417 TX Primary

Addresses

Primary practice location

12201 Merit Dr Ste 550
Dallas, TX 75251-3131

Mailing address

12201 Merit Dr Ste 550
Dallas, TX 75251-3131
Phone (972) 331-9700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address POOJA.DESAI@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230110002889 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 4486966066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034801TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Pathology Consultants PA Current Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Dec 14, 2022 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Dec 14, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients
W Pennock Laird MD PA Pediatrics Past Accepting new patients

Locations

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

1935 Medical District Dr
Unit A
Dallas, TX 75235

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

12201 Merit Dr
Ste 550
Dallas, TX 75251

7557 Rambler Rd
Ste 290
Dallas, TX 75231

1825 Cannon Dr
Mansfield, TX 76063
Phone (817) 453-7770

7211 Preston Rd
Ste 3801
Plano, TX 75024

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

7211 Preston Rd
Ste 4200
Plano, TX 75024

7211 Preston Rd
Ste 4100
Plano, TX 75024

1300 Childrens Way
Ste 310
Prosper, TX 75078
Phone (469) 303-3510

1005 W Ralph Hall Pkwy
Ste 233
Rockwall, TX 75032
Phone (214) 730-5437

Interoperability endpoints

  • Direct secure messaging: pooja.desai@hca3.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1093945172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513131",
            "telephone_number": "972-331-9700",
            "fax_number": "972-331-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513131",
            "telephone_number": "972-331-9700",
            "fax_number": "972-331-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "POOJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KS",
            "license": "04-37769",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10034801",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "S7417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "POOJA.DESAI@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3243 E Murdock St",
            "address_2": "SUITE 500",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672083052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.