NPIMap

Individual provider Active NPI

Nitinchandra Dahyabhai Desai, MD

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1245202696
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9600078 Issued in NC
Practice address
1309 Medical Dr
Suite 102
Fayetteville, NC 28304-4425
Phone
(910) 437-5130
Fax
(910) 437-5128
NPI assigned
Feb 1, 2006
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9600078 NC Primary

Addresses

Primary practice location

1309 Medical Dr
Suite 102
Fayetteville, NC 28304-4425

Mailing address

1309 Medical Dr
Suite 102
Fayetteville, NC 28304-4425
Phone (910) 437-5130

Other practice location 1

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5680

Other identifiers 2

IdentifierTypeStateIssuer
8901515MedicaidNC
NC 9600078OtherNCLICENSE NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070713000506 NC Practitioner - Internal Medicine 5597774331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1309 Medical Dr
Suite 1
Fayetteville, NC 28304-4422
Phone (910) 437-5130

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Creek Medical Clinic, PA Internal Medicine CurrentSince Jul 21, 1997 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Bayada Home Health Care, Inc. PastSince Nov 17, 2022 Accepting new patients

Locations

1309 Medical Dr
Fayetteville, NC 28304
Phone (910) 321-0006

1309 Medical Dr
Ste 1
Fayetteville, NC 28304
Phone (910) 437-5130

1309 Medical Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 437-5130

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

Interoperability endpoints

  • Direct secure messaging: nitin-desai@crosscreekmedical.e-mdsdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cape Fear Valley Bladen Medical AssociatesElizabethtown, NC, CCN 343469 Rural health clinic Corporate Director Jul 9, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1245202696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 MEDICAL DR",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044425",
            "telephone_number": "910-437-5130",
            "fax_number": "910-437-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 MEDICAL DR",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044425",
            "telephone_number": "910-437-5130",
            "fax_number": "910-437-5128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NITINCHANDRA",
        "middle_name": "DAHYABHAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901515",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "NC 9600078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.