Individual provider Active NPI

Nilesh H Desai, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Burbank, CA
National Provider Identifier
1194750349
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A33861 Issued in CA
Practice address
241 W Olive Ave
Burbank, CA 91502-1825
Phone
(818) 848-5561
Fax
(818) 563-4376
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A33861 CA Primary

Addresses

Primary practice location

241 W Olive Ave
Burbank, CA 91502-1825

Mailing address

241 W Olive Ave
Burbank, CA 91502-1825
Phone (818) 848-5561

Other identifiers 1

IdentifierTypeStateIssuer
00A33861MedicaidCA

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
I20100527000541 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3476682527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeside Medical Organization a Medical Group IncGroup PAC ID 7618005166, 64 clinicians

Practice addresses (Care Compare)

1500 S Central Ave
Suite 200
Glendale, CA 91204-3853
Phone (818) 291-4010

191 S Buena Vista St
Suite 200 and 240
Burbank, CA 91505-4542
Phone (818) 887-2671

Hospital & facility affiliations

  • Guiding Hope Home Health Home health agency, Santa Clarita, CA, CCN 559570
  • Comfort Home Health Inc Home health agency, Simi Valley, CA, CCN 559418
  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33861CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Medical Organization, a Medical Group Inc. CurrentSince Dec 1, 2025 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

1500 S Central Ave
Ste 200
Glendale, CA 91204
Phone (818) 242-8916

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nilesh.desai.p6@direct.regal.nextgenshare.com
  • Direct secure messaging: nilesh.desai.1@4399.direct.athenahealth.com
  • Direct secure messaging: nilesh.desai.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 5

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 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1194750349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021825",
            "telephone_number": "818-848-5561",
            "fax_number": "818-563-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021825",
            "telephone_number": "818-848-5561",
            "fax_number": "818-563-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NILESH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A33861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A33861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.