Organization Active NPI

Kartik J. Desai MD PC

Doing business as Desai Medical Center

  • Internal Medicine Physician
  • Ellicott City, MD
National Provider Identifier
1154541068
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KARTIK J. DESAI MD PC
Doing business as
Desai Medical Center
Practice address
3290 N Ridge Rd
Suite 100
Ellicott City, MD 21043-3363
Phone
(410) 313-9292
Fax
(410) 313-9293
NPI assigned
Apr 26, 2007
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Kartik J Desai, MDNPI 1881730067
Title
Owner
Phone
(410) 313-9292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3290 N Ridge Rd
Suite 100
Ellicott City, MD 21043-3363

Mailing address

3290 N Ridge Rd
Suite 100
Ellicott City, MD 21043-3655
Phone (410) 313-9292

Other names 1

  • Desai Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080905000068 MD Part B Supplier - Clinic/Group Practice 8325114911 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Locations

3290 North Ridge Rd
Ste 100
Ellicott City, MD 21043
Phone (410) 313-9292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1154541068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 N RIDGE RD",
            "address_2": "SUITE 100",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433655",
            "telephone_number": "410-313-9292",
            "fax_number": "410-313-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 N RIDGE RD",
            "address_2": "SUITE 100",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433363",
            "telephone_number": "410-313-9292",
            "fax_number": "410-313-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARTIK J. DESAI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "KARTIK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-313-9292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desai Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desai Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.