Individual provider Active NPI

Narayan Deshmukh, MD

  • Surgery Physician
  • Frederick, MD
National Provider Identifier
1124093307
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D78323 Issued in MD
Practice address
400 W 7TH St
Frederick, MD 21701
Phone
(240) 566-3840
NPI assigned
Feb 21, 2006
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101249486 VA
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 036135071 IL
Surgery Physician 208600000X 036135072 IL
Surgery Physician 208600000X D78323 MD Primary

Addresses

Primary practice location

400 W 7TH St
Frederick, MD 21701

Mailing address

PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8733

Other practice location 1

2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-1035

Other practice location 2

315 S 13th St Ste 3
Herrin, IL 62948-3666
Phone (618) 988-6157

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ndeshmukh13448@sih.direct-ci.com
Direct Messaging Address ndeshmukh13448@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Illinois, LLC Undersea and Hyperbaric Medicine CurrentSince Jul 21, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 12, 2018 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 12, 2018 Accepting new patients
Integrated Wound Specialists of Pennsylvania, LLC Undersea and Hyperbaric Medicine CurrentSince Jul 25, 2015 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Mar 1, 2015 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Mar 1, 2015 Accepting new patients
Beaver Dam Community Hospitals Inc Current Accepting new patients
Arnot Ogden Medical Center Surgery Past Accepting new patients
Guthrie Medical Group, P.C. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

315 S 13th St
Ste 3
Herrin, IL 62948
Phone (618) 988-6157

2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

600 Commerce Blvd
Fl 2
Stroudsburg, PA 18360
Phone (570) 426-6810

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

Interoperability endpoints

  • Direct secure messaging: ndeshmukh13448@sih.direct-ci.com
  • Direct secure messaging: ndeshmukh747206@directa.mercy.net

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

NPI Registry JSON

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

{
    "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": [],
    "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": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.