Narayan Deshmukh, MD

Key facts

NPI

1124093307

Entity type

Individual (NPI type 1)

Primary specialty

Surgery Physician 208600000X

License

D78323 (MD)

Practice address

400 W 7TH St
Frederick, MD 21701

Phone

(240) 566-3840

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 10

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.

• Beaver Dam Community Hospitals Inc Pharmacy · Beaver Dam, WI · NPI 1295771780
  NPD
• Beaver Dam Community Hospitals Inc Chiropractor · Beaver Dam, WI · NPI 1306389408
  NPD
• Beaver Dam Community Hospitals Inc Clinic/Center · Beaver Dam, WI · NPI 1972188555
  NPD
• Healogics Specialty Physicians of Illinois, LLC Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Alton, IL · NPI 1215355110
  NPD UNDERSEA AND HYPERBARIC MEDICINE
• Integrated Wound Specialists of Pennsylvania, LLC Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Somerset, PA · NPI 1578882924
  NPD UNDERSEA AND HYPERBARIC MEDICINE
• St. Mary'S Hospital, Centralia, Illinois Comprehensive Outpatient Rehabilitation Facility (CORF) · Centralia, IL · NPI 1710105192
  NPD
• St. Mary'S Hospital, Centralia, Illinois Emergency Medicine Physician · Centralia, IL · NPI 1770687196
  NPD
• Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527
  NPD (past)
• Arnot Ogden Medical Center Internal Medicine Physician · Elmira, NY · NPI 1265580286
  NPD (past) SURGERY
• Guthrie Medical Group, P.C. Family Medicine Physician · Troy, PA · NPI 1376592493
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ndeshmukh747206@directa.mercy.net

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2022.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1124093307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "240-439-8733",
            "fax_number": "240-439-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "240-566-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629663333",
            "country_code": "US",
            "telephone_number": "618-684-1035",
            "fax_number": "618-684-1036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S 13th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483666",
            "country_code": "US",
            "telephone_number": "618-988-6157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHMUKH",
        "first_name": "NARAYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101249486",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "IL",
            "license": "036135071",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036135072",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D78323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "770002509",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006851630001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00365191",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC9269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GU039818",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndeshmukh13448@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "315 S 13th St Ste 3",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndeshmukh13448@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2 S Hospital Dr",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629663333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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