Dipti Vanraj Desai, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06520 Issued in TX

Practice address

13333 N Central Expy
Dallas, TX 75243-1144

Phone

(972) 636-5727

Fax

(972) 499-2540

NPI assigned

Mar 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Chronic Pain Relief, PA

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
  • NPI 1568971141

  TX

  Medicare reassignment

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1104149574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431144",
            "telephone_number": "972-636-5727",
            "fax_number": "972-499-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431144",
            "telephone_number": "972-636-5727",
            "fax_number": "972-499-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "DIPTI",
        "middle_name": "VANRAJ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailey Derting, LPC-A
• Des Peres Physician Network, LLC
• Aalaap Desai, MD
• Amit P Desai, M.D.
• Ayush Ashesh Desai
• Gargee Desai, MA, LPC
• Heliben Desai, DMD
• Jui Desai, MD
• Madhukar C Desai, MD
• Manisha Desai, OTR

• Medical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.