Individual provider Active NPI

Ketan M Desai, M.D.

  • Vascular Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1285759985
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2001015133 Issued in MO
Practice address
625 S New Ballas Rd Ste 7063
Saint Louis, MO 63141-8218
Phone
(314) 251-4200
Fax
(314) 251-5816
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 2001015133 MO Primary

Addresses

Primary practice location

625 S New Ballas Rd Ste 7063
Saint Louis, MO 63141-8218

Mailing address

625 S New Ballas Rd Ste 7063
Saint Louis, MO 63141-8218
Phone (314) 251-4200

Other practice location 1

1390 US Highway 61 Ste N1500
Festus, MO 63028-4137
Phone (636) 933-5055

Other practice location 2

1000 E Cherry St
Troy, MO 63379-1513
Phone (314) 251-4200

Other identifiers 2

IdentifierTypeStateIssuer
1285759985MedicaidMO
P01112373OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20070802000649 MO Practitioner - Vascular Surgery 2062503139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 7011B
Saint Louis, MO 63141-8275
Phone (314) 251-6840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001015133MOMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Heart and Vascular, LLC CurrentSince Apr 1, 2025 Accepting new patients
Mercy Clinic Surgical Specialists, LLC Vascular Surgery CurrentSince Jun 1, 2012 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Vascular Surgery Past Accepting new patients
Mercy Clinic East Communities PastSince Apr 6, 2025 Accepting new patients

Locations

1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055

1820 Zumbehl Rd
Ste 120
Saint Charles, MO 63303
Phone (314) 801-5350

621 S New Ballas Rd
Ste 7011B
Saint Louis, MO 63141
Phone (314) 251-6840

625 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-0175

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

625 S New Ballas Rd
Ste 7063
Saint Louis, MO 63141
Phone (314) 251-1642

901 Patients First Dr
#2500
Washington, MO 63090

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

Interoperability endpoints

  • Direct secure messaging: kdesai99633@directc.mercy.net

Organizations & group practices 5

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 6

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1285759985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD STE 7063",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418218",
            "telephone_number": "314-251-4200",
            "fax_number": "314-251-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD STE 7063",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418218",
            "telephone_number": "314-251-4200",
            "fax_number": "314-251-5816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 US Highway 61 Ste N1500",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284137",
            "country_code": "US",
            "telephone_number": "636-933-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633791513",
            "country_code": "US",
            "telephone_number": "314-251-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KETAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2001015133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285759985",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01112373",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.