Active NPI
Shiv Desai, MD
- Internal Medicine Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME160085
- Practice address
- 11375 Cortez Blvd
Brooksville, FL 34613-5409 - Phone
- (352) 579-2755
- Fax
- (352) 591-6317
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME160085 | FL | Primary |
Addresses
Primary practice location
11375 Cortez Blvd
Brooksville, FL 34613-5409
Mailing address
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 579-2755
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone 4076472346111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Central Florida Inpatient Medicine LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209
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.
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Hospitalist Physician
- Lake Mary, FL
- NPI 1679817134
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
-
- Internal Medicine Physician
- Altamonte Springs, FL
- NPI 1083297147
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1427631696
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1205395084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "352-579-2755",
"fax_number": "352-591-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "352-579-2755",
"fax_number": "352-591-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "SHIV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME160085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.