Active NPI
Nirav Kishor Desai, M.D.
- Obesity Medicine (Preventive Medicine) Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Preventive Medicine) Physician
- License
- 104712
- Practice address
- 109 State Street 5TH Floor
Boston, MA 02109-2906 - Phone
- (617) 505-1520
- Fax
- (617) 928-8401
- NPI assigned
- Apr 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 104712 | GA | Primary |
| Surgery Physician | 208600000X | 62015 | CT | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 2025-00301 | NC |
Addresses
Primary practice location
109 State Street 5TH Floor
Boston, MA 02109-2906
Mailing address
109 State Street 5TH Floor
Boston, MA 02109-2906
Phone (617) 505-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104712 | GA | MD | Obesity Medicine (Preventive Medicine) Physician |
| 2025-00301 | NC | MD | Obesity Medicine (Preventive Medicine) Physician |
| 62015 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Long Island Minimally Invasive Surgery, P.C. | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| St Charles Hospital Corp | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
140 Sherman St
Fairfield, CT 06824
Phone (203) 256-1320
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
146A Manetto Hill Rd
Ste 205
Plainview, NY 11803
Phone (516) 302-8530
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800
Interoperability endpoints
- nirav.desai@168064768409604.direct.elationemr.com
- niravk.desai@xdr.hhchealthdirect.org
- ndesai36231@scrippshlth.medalliesdirect.net
Organizations & group practices 10
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.
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-
- General Acute Care Hospital
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- NPI 1497765630
-
- Specialist
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- NPI 1881799153
-
- Internal Medicine Physician
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- NPI 1003882812
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1215293832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 STATE STREET 5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092906",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 STATE STREET 5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092906",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "NIRAV",
"middle_name": "KISHOR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "GA",
"license": "104712",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "62015",
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "NC",
"license": "2025-00301",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.