Active NPI
Prashant M Desai, M.D.
- Specialist
- Altamonte Springs, FL
National Provider Identifier
1265441026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0059526
- Practice address
- 789 Douglas Ave Ste 137
Altamonte Springs, FL 32714-2573 - Phone
- (407) 862-9988
- Fax
- (407) 862-1283
- NPI assigned
- Aug 7, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0059526 | FL | Primary |
Addresses
Primary practice location
789 Douglas Ave Ste 137
Altamonte Springs, FL 32714-2573
Mailing address
789 Douglas Ave Ste 137
Altamonte Springs, FL 32714-2573
Phone (407) 862-9988
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233386 | Other | FL | AMERIGROUP |
| 14489 | Other | FL | BLUE CROSS BLUE SHIELD |
| 4259760 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0059526 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265441026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 DOUGLAS AVE STE 137",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142573",
"telephone_number": "407-862-9988",
"fax_number": "407-862-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 DOUGLAS AVE STE 137",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142573",
"telephone_number": "407-862-9988",
"fax_number": "407-862-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "PRASHANT",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0059526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "233386",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14489",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4259760",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.