Roopal Anil Desa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

035034 Issued in GA

Practice address

3641 Hwy 20 SE
Suite a
Conyers, GA 30013

Phone

(770) 918-1234

Fax

(770) 918-1235

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHJBDA
• FHIR API: https://fhir4.healow.com/fhir/r4/JDJBDA/Endpoint/JDJBDA

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.

• East Metro Internal Medicine

  • Internal Medicine Physician
  • Conyers, GA
  • NPI 1386735066
  Medicare reassignment
• Family Practice Partner, LLC

  • Non-Surgical Family Planning Clinic/Center
  • Conyers, GA
  • NPI 1407996846
  NPD (past)
• Rockdale Newton Hematology Oncology

  • Hematology & Oncology Physician
  • Covington, GA
  • NPI 1336279140
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1245345883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 HWY 20 SE",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-918-1234",
            "fax_number": "770-918-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 HWY 20 SE",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-918-1234",
            "fax_number": "770-918-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESA",
        "first_name": "ROOPAL",
        "middle_name": "ANIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "035034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00624511B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheira Dennis
• Sylvia Denson, PHD
• Dental Wellness Center of Conyers, LLC
• Amit M Deokar, MD, MPH
• Alan A Derrick-Griffith, DMD
• Ruchika Agarwal Desai, DDS
• Shakespeare Prince Desir, BABA, MMFT
• Dominique Dessausure, CHIROPRACTOR
• Destined Point Diagnostics
• Developmental & Rehabilitative Services 2, Inc

• Internal Medicine Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.

Verify at the official NPI Registry.