Shailesh Kantilal Desai, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 67583 Issued in FL

Practice address

681 Douglas Ave
Suite 101
Altamonte Springs, FL 32714-2583

Phone

(407) 774-9555

Fax

(407) 774-6774

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194839357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 DOUGLAS AVE",
            "address_2": "SUITE 101",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142583",
            "telephone_number": "407-774-9555",
            "fax_number": "407-774-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 DOUGLAS AVE",
            "address_2": "SUITE 101",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142583",
            "telephone_number": "407-774-9555",
            "fax_number": "407-774-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHAILESH",
        "middle_name": "KANTILAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 67583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37733290",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Dennis, PA-C
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• Jaquita Denson
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• Prashant M Desai, M.D.
• Junias Desamour, MD
• Jane Z Deutchman, ARNP
• Richard Devasagayaraj, MD
• Devoted to Women, P.a.
• Ashley Jean Dexter

• Internal Medicine Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.