NPIMap

Individual provider Active NPI

Poorvi Desai, M.D.

  • Hematology & Oncology Physician
  • St Petersburg, FL
National Provider Identifier
1144614207
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME129506 Issued in FL
Practice address
5000 Park St N Ste 10175000
St Petersburg, FL 33709-2221
Phone
(727) 344-6569
NPI assigned
Mar 26, 2015
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 NU
Hematology & Oncology Physician 207RH0003X ME129506 FL Primary

Addresses

Primary practice location

5000 Park St N Ste 10175000
St Petersburg, FL 33709-2221

Mailing address

5000 Park St N Ste 1017
St Petersburg, FL 33709-2236
Phone (727) 344-6569

Other practice location 1

17 Davis Blvd
Suite 308
Tampa, FL 33606-3475
Phone (813) 259-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY, CO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210415001015 FL Practitioner - Internal Medicine 0244648020 Reassigns benefits to 1 organization
I20231201001331 KY Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 0244648020 Reassigns benefits to 1 organization
I20250709002271 CO Practitioner - Hematology/Oncology 0244648020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

5000 Park St N
Suite 1017
St Petersburg, FL 33709-2236
Phone (727) 344-6569

750 Wellington Ave
Grand Junction, CO 81501-6132

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
86.76 of 100Reported as group
Quality
59.78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hematology Oncology LLC Hematology & Oncology CurrentSince Jun 1, 2021 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Hematology & Oncology Current Accepting new patients
Comprehensive Hematology Oncology LLC CurrentSince Jun 1, 2021 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 21, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 2, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC Hematology & Oncology CurrentSince Jul 21, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc Hematology & Oncology CurrentSince Oct 2, 2023 Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

750 Wellington Ave
Grand Junction, CO 81501
Phone (970) 298-7500

3501 Cortez Rd W
Bradenton, FL 34210
Phone (941) 752-2700

425 S Parsons Ave
Ste 101
Brandon, FL 33511
Phone (813) 278-5062

4114 Woodlands Pkwy
Ste 301
Palm Harbor, FL 34685
Phone (727) 789-2595

5000 Park St N
Ste 1017
St Petersburg, FL 33709
Phone (727) 344-6570

603 7th St S
Ste 560
St Petersburg, FL 33701
Phone (727) 820-7714

3611 Little Rd
Trinity, FL 34655
Phone (727) 312-4300

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

617 23rd St
Ste 19
Ashland, KY 41101
Phone (606) 325-2221

617 23rd St
Ste 8B
Ashland, KY 41101
Phone (606) 408-1290

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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 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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1144614207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N STE 1017",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092236",
            "telephone_number": "727-344-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N STE 10175000",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092221",
            "telephone_number": "727-344-6569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Davis Blvd",
            "address_2": "Suite 308",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063475",
            "country_code": "US",
            "telephone_number": "813-259-0661",
            "fax_number": "813-259-0697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "POORVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME129506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.