Individual provider Active NPI

Aashish Kiran Desai, M.D.

  • Interventional Cardiology Physician
  • Canton, GA
National Provider Identifier
1114000767
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
52165 Issued in GA
Practice address
460 Northside Cherokee Blvd Ste 190
Canton, GA 30115-8018
Phone
(470) 639-6250
Fax
(770) 345-0712
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 052165 GA
Cardiovascular Disease Physician 207RC0000X TRN8397 FL
Interventional Cardiology Physician 207RI0011X 52165 GA Primary

Addresses

Primary practice location

460 Northside Cherokee Blvd Ste 190
Canton, GA 30115-8018

Mailing address

900 Towne Lake Pkwy
Ste 400
Woodstock, GA 30189-1604
Phone (404) 921-0638

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NorthsideHeart@Northside.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031112000223 GA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 0547173833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Cardiovascular Professional Services, LLCGroup PAC ID 9739189838, 143 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

1285 Upper Hembree Rd
Roswell, GA 30076-1143
Phone (770) 343-8565

2200 Medical Ctr Blvd
Suite G1
Lawrenceville, GA 30046-7751
Phone (404) 962-2500

2712 Lawrenceville Hwy
Decatur, GA 30033-2512
Phone (770) 496-5555

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

5670 Peachtree Dunwoody Rd
Suite 880
Atlanta, GA 30342-4789
Phone (404) 256-2525

6135 Barfield Rd
Suite 100
Sandy Springs, GA 30328-4308
Phone (678) 223-7928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
67.82
Promoting interoperability
77
Improvement activities
40
Cost
77.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN8397FLMDCardiovascular Disease Physician
052165GAMDCardiovascular Disease Physician
52165GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Cardiovascular Professional Services, LLC Cardiovascular Disease CurrentSince Feb 1, 2011 Accepting new patients
North Atlanta Professional Services LLC Cardiovascular Disease Past Accepting new patients
Saint Josephs Hospital of Atlanta Inc Past Accepting new patients

Locations (25 of 28)

1110 W Peachtree St NW
Ste 920
Atlanta, GA 30309

1110 W Peachtree St NW
Ste 940
Atlanta, GA 30309
Phone (770) 292-3490

1255 Friendship Rd
Ste 240
Braselton, GA 30517

2800 Buford Dr
Ste 410
Buford, GA 30519
Phone (404) 847-4280

2800 Buford Dr
Ste 220
Buford, GA 30519

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

460 Northside Cherokee Blvd
Ste 190
Canton, GA 30115
Phone (470) 639-6250

2000 Howard Farm Dr
Ste 450
Cumming, GA 30041
Phone (901) 489-4991

2000 Howard Farm Dr
Ste 200
Cumming, GA 30041
Phone (770) 667-4337

134 Ansley Dr
Ste 200
Dahlonega, GA 30533
Phone (706) 864-2155

81 Northside Dawson Dr
Ste 305
Dawsonville, GA 30534
Phone (678) 456-4947

2712 Lawrenceville Hwy
Decatur, GA 30033
Phone (770) 496-5555

2545 Lawrenceville Hwy
Ste 200
Decatur, GA 30033
Phone (770) 934-7876

3855 Pleasant Hill Rd
Ste 270
Duluth, GA 30096
Phone (678) 257-7078

1276 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (706) 543-3200

2200 Medical Center Blvd
Ste 200
Lawrenceville, GA 30046

631 Professional Dr
Ste 290
Lawrenceville, GA 30046

308 Coliseum Dr
Ste 120
Macon, GA 31217
Phone (478) 745-6130

1285 Upper Hembree Rd
#R
Roswell, GA 30076

1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565

1150 Hammond Dr
Ste 400
Sandy Springs, GA 30328
Phone (404) 234-2753

6135 Barfield Rd
Ste 100
Sandy Springs, GA 30328

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

4298 W Atlanta Rd SE
Ste 210
Smyrna, GA 30080

2220 Wisteria Dr
Ste 209
Snellville, GA 30078
Phone (678) 312-3500

Interoperability endpoints

  • Direct secure messaging: adesai37364@direct.emory.org

Organizations & group practices 3

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 5

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1114000767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TOWNE LAKE PKWY",
            "address_2": "STE 400",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301891604",
            "telephone_number": "404-921-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD STE 190",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158018",
            "telephone_number": "470-639-6250",
            "fax_number": "770-345-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "AASHISH",
        "middle_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "052165",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "TRN8397",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "52165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NorthsideHeart@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "460 Northside Cherokee Blvd Ste 190",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301158018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.