Individual provider Active NPI

Devak Girish Desai, MD

  • Infectious Disease Physician
  • Mansfield, TX
National Provider Identifier
1164677613
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
N1611 Issued in TX
Practice address
350 Matlock Rd Ste 201
Mansfield, TX 76063
Phone
(817) 539-9091
Fax
(817) 539-9553
NPI assigned
Nov 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X N1611 TX Primary

Addresses

Primary practice location

350 Matlock Rd Ste 201
Mansfield, TX 76063

Mailing address

350 Matlock Rd Ste 201
Mansfield, TX 76063
Phone (817) 539-9091

Other practice location 1

515 W Mayfield Rd Ste 404
Arlington, TX 76014-2085
Phone (817) 539-9091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121026000575 TX Practitioner - Infectious DiseasePractitioner - Interventional Pain ManagementPractitioner - Internal Medicine 6406018944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Id Partners PAGroup PAC ID 0042593121, 7 clinicians

Practice addresses (Care Compare)

515 W Mayfield Rd
Arlington, TX 76014-2085
Phone (817) 539-9091

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1611TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Id Partners PA Infectious Disease CurrentSince Dec 19, 2016 Accepting new patients

Locations

515 W Mayfield Rd
Ste 4040
Arlington, TX 76014

515 W Mayfield Rd
Ste 404
Arlington, TX 76014
Phone (817) 375-5847

350 Matlock Rd
Ste 201
Mansfield, TX 76063
Phone (817) 539-9091

309 Regency Pkwy
Ste 205
Mansfield, TX 76063
Phone (682) 499-1777

Organizations & group practices 1

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 6

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1164677613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MATLOCK RD STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MATLOCK RD STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Mayfield Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142085",
            "country_code": "US",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "DEVAK",
        "middle_name": "GIRISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "N1611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.