Active NPI
Pooja Desai, MD
- Pediatrics Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME170073
- Practice address
- 3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307 - Phone
- (813) 321-6820
- Fax
- (813) 287-6306
- NPI assigned
- Apr 17, 2016
- Last updated
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | ME170073 | FL | Primary |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 299912-01 | NY |
Addresses
Primary practice location
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-7496
Other practice location 1
26901 76th Ave Ste 255
New Hyde Park, NY 11040-1433
Phone (718) 470-3460
Other practice location 2
4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Pooja.DesaiMD@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- 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 |
|---|---|---|---|
| ME170073 | FL | MD | Pediatrics Physician |
| 299912-01 | NY | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000
26901 76th Ave
Ste 255
New Hyde Park, NY 11040
Phone (718) 470-3000
972 Brush Hollow Rd
Westbury, NY 11590
Interoperability endpoints
- pooja.desai@direct.myhealthep.org
- pooja.desaimd@direct.mybaycare.org
- poojadesai@nslijmedgr.allscriptsdirect.net
Organizations & group practices 3
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1235583139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST FL 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-315-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076307",
"telephone_number": "813-321-6820",
"fax_number": "813-287-6306"
}
],
"practiceLocations": [
{
"address_1": "26901 76th Ave Ste 255",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401433",
"country_code": "US",
"telephone_number": "718-470-3460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 Alberta Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052709",
"country_code": "US",
"telephone_number": "915-215-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESAI",
"first_name": "POOJA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME170073",
"primary": true
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NY",
"license": "299912-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Pooja.DesaiMD@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3001 W Dr Martin Luther King Jr Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336076307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.