Individual provider Active NPI

Dhruv Bharat Desai, M.D

  • Pulmonary Disease Physician
  • Dover, NH
National Provider Identifier
1265872584
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
302964 Issued in NH
Practice address
801 Central Ave
Dover, NH 03820-2529
Phone
(603) 740-9713
NPI assigned
Jul 1, 2013
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 277258 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 277258 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 302964 NH
Pulmonary Disease Physician 207RP1001X 277258 MA
Pulmonary Disease Physician 207RP1001X 302964 NH Primary

Addresses

Primary practice location

801 Central Ave
Dover, NH 03820-2529

Mailing address

2 Nixon LN
Stoneham, MA 02180-3366
Phone (609) 558-8895

Other practice location 1

41 Burlington Mall Road
Burlington, MA 01805-1216
Phone (781) 744-1823

Other identifiers 2

IdentifierTypeStateIssuer
110149662AMedicaidMA
3116922MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20190329000519 MA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Emergency MedicinePractitioner - Hospitalist 7911247978 Reassigns benefits to 6 organizations
I20210127003156 NH Practitioner - Pulmonary Disease 7911247978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine, Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians

Practice addresses (Care Compare)

1 Essex Ctr Dr
Peabody, MA 01960-2901
Phone (978) 538-4000

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8085

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277258MAMDCritical Care Medicine (Internal Medicine) Physician
302964NHMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc Internal Medicine CurrentSince Mar 25, 2019 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 25, 2021 Accepting new patients
Wentworth Douglass Physician Corporation Pulmonary Disease CurrentSince Jan 25, 2021 Accepting new patients
Lahey Clinic, Inc. Internal Medicine CurrentSince Mar 25, 2019 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Internal Medicine CurrentSince Sep 20, 2024 Accepting new patients
Incare LLC Internal Medicine CurrentSince Jan 20, 2020 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

70 East St
Methuen, MA 01844
Phone (978) 682-1906

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

1 Essex Dr
Peabody, MA 01960
Phone (978) 538-4000

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
#1
Dover, NH 03820
Phone (603) 609-6260

801 Central Ave
Dover, NH 03820
Phone (603) 742-3666

801 Central Ave
Ste 1
Dover, NH 03820
Phone (603) 740-9713

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ddesai28739@direct.bilh.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD

Organizations & group practices 8

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1265872584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NIXON LN",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803366",
            "telephone_number": "609-558-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202529",
            "telephone_number": "603-740-9713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Burlington Mall Road",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018051216",
            "country_code": "US",
            "telephone_number": "781-744-1823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "DHRUV",
        "middle_name": "BHARAT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MA",
            "license": "277258",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "277258",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NH",
            "license": "302964",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "277258",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": "302964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110149662A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3116922",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.