Individual provider Active NPI

Nirav Kishor Desai, M.D.

  • Obesity Medicine (Preventive Medicine) Physician
  • Boston, MA
National Provider Identifier
1215293832
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
License
104712 Issued in GA
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

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181203000589 CT Practitioner - General Surgery 2860766367 Reassigns benefits to 2 organizations
I20190411002365 NY Practitioner - General Surgery 2860766367 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104712GAMDObesity Medicine (Preventive Medicine) Physician
2025-00301NCMDObesity Medicine (Preventive Medicine) Physician
62015CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Hospital CurrentSince Jan 11, 2022 Accepting new patients
Scripps Health Current Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 1, 2021 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 11, 2022 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Oct 10, 2018 Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2022 Accepting new patients
St Charles Hospital Corp CurrentSince Jan 1, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 1, 2021 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

  • Direct secure messaging: nirav.desai@168064768409604.direct.elationemr.com
  • Direct secure messaging: niravk.desai@xdr.hhchealthdirect.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.