Rasesh Desai, M.D.

Individual provider Active NPI Orthopaedic Surgery Physician · Bowling Green, KY

NPI 1104015148 · NPPES record last updated Dec 31, 2014

Key facts

NPI
1104015148
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
42924 (KY)
Practice address
825 2ND Ave Ste C2
Bowling Green, KY 42101-1786
Phone
(270) 780-2750
Fax
(270) 780-2755
NPI assigned
Oct 16, 2007
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

Medicare Care Compare profile

Specialty
Orthopedic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Health Corporation, Inc. (268 clinicians)
Bowling Green-Warren County Community Hospital Corporation (117 clinicians)

Practice addresses (Care Compare)

1100 Brookhaven Rd
Franklin, KY 42134-2746

1405 Nashville St
Russellville, KY 42276-8857
Phone (270) 796-3330

1495 S Dixie St
Horse Cave, KY 42749-1457
Phone (270) 796-3330

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178

350 Park St
Bowling Green, KY 42101-1784

401 S L Rogers Wells Blvd
Glasgow, KY 42141-1725
Phone (270) 261-5640

6807 Louisville Rd
Bowling Green, KY 42101-8015
Phone (270) 745-0987

825 2ND Ave
Bowling Green, KY 42101-1791

825 2ND Ave E
Bowling Green, KY 42101-1786

Hospital & facility affiliations

  • The Medical Center Home Care Program Home health agency · Bowling Green, KY · CCN 187044
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency · Columbia, KY · CCN 187119
  • The Medical Center (Bowling Green) Hospital · Bowling Green, KY · CCN 180013
  • Caverna Memorial Hospital Hospital · Horse Cave, KY · CCN 181314
  • The Medical Center at Russellville Hospital · Russellville, KY · CCN 180066
  • The Medical Center at Scottsville Hospital · Scottsville, KY · CCN 181324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement34
Spinal fusion55
Laminectomy or laminotomy (partial removal of spine bones)14

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150130002346 KY Practitioner - Orthopedic Surgery 1254457195 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42924KYMDOrthopaedic Surgery Physician
35.095274OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Commonwealth Health Corporation, Inc. Current
since Jan 27, 2015
Accepting new patients
Commonwealth Health Corporation, Inc. Orthopaedic Surgery Current
since Jan 27, 2015
Accepting new patients

Locations

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

825 2nd Ave
Ste C2
Bowling Green, KY 42101
Phone (270) 780-2750

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.095274 OH
Orthopaedic Surgery Physician 207X00000X 42924 KY Yes

Addresses

Primary practice location

825 2ND Ave Ste C2
Bowling Green, KY 42101-1786

Mailing address

825 2ND Ave Ste C2
Bowling Green, KY 42101-1786
Phone (270) 780-2750

Other identifiers

IdentifierTypeStateIssuer
3078968MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 31, 2014.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1104015148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 2ND AVE STE C2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011786",
            "telephone_number": "270-780-2750",
            "fax_number": "270-780-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 2ND AVE STE C2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011786",
            "telephone_number": "270-780-2750",
            "fax_number": "270-780-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "RASESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.095274",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "42924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078968",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

All providers in Bowling Green, KY · Orthopaedic Surgery Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.