Individual provider Active NPI

Shaunak Subhash Desai, M.D.

  • Orthopaedic Hand Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1174733802
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A107394 Issued in CA
Practice address
22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone
(949) 722-5017
Fax
(949) 432-3354
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A107394 CA
Orthopaedic Hand Surgery Physician 207XS0106X A107394 CA Primary

Addresses

Primary practice location

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985

Mailing address

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-5017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101101001044 CA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 0749474088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Institute of Newport Beach Limited PartnershipGroup PAC ID 4688826688, 30 clinicians

Practice addresses (Care Compare)

19582 Beach Blvd
Suite 306
Huntington Beach, CA 92648-5923
Phone (949) 722-7038

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
99.26
Improvement activities
40
Cost
75.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107394CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1972355329 CurrentSince Jan 1, 2013 Accepting new patients
Orthopedic Institute of Newport Beach Limited Partnership Orthopaedic Surgery CurrentSince Jan 1, 2013 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Hoag Orthopedic Institute LLC Past Accepting new patients
Newport Orthopedic Institute Past Accepting new patients

Locations

19582 Beach Blvd
Ste 306
Huntington Beach, CA 92648
Phone (714) 965-0999

16300 Sand Canyon Ave
Ste 400
Irvine, CA 92618
Phone (949) 610-7245

22 Corporate Plaza Dr
Ste 113
Newport Beach, CA 92660
Phone (949) 722-5054

22 Corporate Plaza Dr
Newport Beach, CA 92660
Phone (949) 472-2703

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shaunak.desai.p1@direct.newportortho.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hoag Orthopedic Institute, LLCIrvine, CA, CCN 050769 Hospital Other (1.34%) Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1174733802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CORPORATE PLAZA DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607985",
            "telephone_number": "949-722-5017",
            "fax_number": "949-432-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CORPORATE PLAZA DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607985",
            "telephone_number": "949-722-5017",
            "fax_number": "949-432-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHAUNAK",
        "middle_name": "SUBHASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A107394",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A107394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.