Neil Himansu Desai, MS, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA8433 Issued in MA

Practice address

541 Main St Ste 320
South Weymouth, MA 02190-1845

Phone

(781) 812-1078

NPI assigned

Dec 2, 2021

Sex

Male

Sole proprietor

Yes

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 MA

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GK Dermatology PCGroup PAC ID 6406084623, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, 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.

• GK Dermatology, PC

  • Dermatology Physician
  • South Weymouth, MA
  • NPI 1578991113
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1104584531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BRAINERD RD APT 1",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021344598",
            "telephone_number": "919-500-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST STE 320",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901845",
            "telephone_number": "781-812-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NEIL",
        "middle_name": "HIMANSU",
        "credential": "MS, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "PA8433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Delloiacono, NP, PHD
• Nancy Demattia, MSPT
• Jeanne Deneault, MSW, LCSW
• David M Denmark, M.D.
• Daniel Deppe
• Savitha Devi, MD
• Melissa Anne Dinunno, CNM
• Mary E. Doherty, NP
• Mario L Dominguez, MD
• Katelyn McGovern Dorney, MD

• Dermatology Physician in South Weymouth, MA
• Providers in South Weymouth, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.