Individual provider Active NPI

Dhaarak Kamal Desai, MD

  • Family Medicine Physician
  • Tavernier, FL
National Provider Identifier
1104563071
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME173336 Issued in FL
Practice address
90130 Old Hwy Ste 1B
Tavernier, FL 33070-2348
Phone
(562) 685-6138
NPI assigned
May 12, 2022
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME173336 FL Primary

Addresses

Primary practice location

90130 Old Hwy Ste 1B
Tavernier, FL 33070-2348

Mailing address

90130 Old Hwy Ste 1B
Tavernier, FL 33070-2348
Phone (562) 685-6138

Other practice location 1

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (305) 284-7761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250617004237 FL Practitioner - Family Practice 6103337027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agapemd, LLCGroup PAC ID 9436470077, 2 clinicians

Practice addresses (Care Compare)

90130 Old Hwy
Suite 1
Tavernier, FL 33070-2348
Phone (305) 852-9300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME173336FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agapemd, LLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients

Locations

101425 Overseas Hwy
Key Largo, FL 33037
Phone (305) 587-0426

90130 Old Hwy
Tavernier, FL 33070
Phone (305) 204-4577

90130 Old Hwy
Ste 1
Tavernier, FL 33070
Phone (305) 852-9300

90130 Old Hwy
Ste 1B
Tavernier, FL 33070
Phone (305) 852-9300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1104563071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90130 OLD HWY STE 1B",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702348",
            "telephone_number": "562-685-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90130 OLD HWY STE 1B",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702348",
            "telephone_number": "562-685-6138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "305-284-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "DHAARAK",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME173336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

Verify at the official NPI Registry.