NPIMap

Individual provider Active NPI

Pankaj Rohit Desai, M.D., FACP

  • Internal Medicine Physician
  • Owings Mills, MD
National Provider Identifier
1194790105
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0040390 Issued in MD
Practice address
90 Painters Mill Rd Ste 205
Owings Mills, MD 21117-3614
Phone
(410) 356-1575
Fax
(410) 363-6840
NPI assigned
Feb 22, 2006
Last updated
Mar 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0040390 MD Primary

Addresses

Primary practice location

90 Painters Mill Rd Ste 205
Owings Mills, MD 21117-3614

Mailing address

90 Painters Mill Rd Ste 205
Owings Mills, MD 21117-3614
Phone (410) 356-1575

Other identifiers 1

IdentifierTypeStateIssuer
157500700MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000202 MD Practitioner - Internal Medicine 3678611167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desai and Holmes MD LLCGroup PAC ID 7719025204, 2 clinicians

Practice addresses (Care Compare)

90 Painters Mill Rd
Suite 205
Owings Mills, MD 21117-3614
Phone (410) 356-1575

Hospital & facility affiliations

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
D0040390MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desai & Holmes MD LLC Internal Medicine CurrentSince Oct 1, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

90 Painters Mill Rd
Ste 205
Owings Mills, MD 21117
Phone (410) 356-1575

Organizations & group practices 2

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 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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1194790105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PAINTERS MILL RD STE 205",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173614",
            "telephone_number": "410-356-1575",
            "fax_number": "410-363-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PAINTERS MILL RD STE 205",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173614",
            "telephone_number": "410-356-1575",
            "fax_number": "410-363-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "PANKAJ",
        "middle_name": "ROHIT",
        "name_prefix": "Dr.",
        "credential": "M.D.,  FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0040390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157500700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.