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
Hospital & facility affiliations 6
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.
Bowling Green-Warren County Community Hospital Corporation
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
- Family Home Health Care, LLC Dba Adoration Home Health
- The Medical Center (Bowling Green)
- Caverna Memorial Hospital
- The Medical Center at Russellville
- The Medical Center at Scottsville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 15 |
| Knee replacement | 34 |
| Spinal fusion | 55 |
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150130002346 | KY | Practitioner - Orthopedic Surgery | 1254457195 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42924 | KY | MD | Orthopaedic Surgery Physician |
| 35.095274 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current |
Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Orthopaedic Surgery | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078968 | Medicaid | OH |
NPI Registry JSON
{
"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": []
}
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All providers in Bowling Green, KY · Orthopaedic Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.