Active NPI
Ajay Kishor Desai, D.O.
- Pediatrics Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS12568
- Practice address
- 3820 Gunn Hwy Ste 100
Tampa, FL 33618-8720 - Phone
- (813) 840-4304
- Fax
- (813) 948-3010
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Abuse Pediatrics Physician | 2080C0008X | OS12568 | FL | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | OS12568 | FL | |
| Pediatrics Physician | 208000000X | OS12568 | FL | Primary |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | OS12568 | FL | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | OS014712 | PA | |
| Community/Behavioral Health Agency | 251S00000X | OS12568 | FL |
Addresses
Primary practice location
3820 Gunn Hwy Ste 100
Tampa, FL 33618-8720
Mailing address
1046 S Florida Ave
Lakeland, FL 33803-1118
Phone (863) 816-3449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160316002397 | FL | Practitioner - Pediatric Medicine | 7618140476 | Reassigns benefits to 4 organizations |
| I20250508000195 | TX | Practitioner - Pediatric Medicine | 7618140476 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Welsh Foundation, Inc
Practice addresses (Care Compare)
3820 Gunn Hwy
Suite 100
Tampa, FL 33618-8720
Phone (813) 442-7505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12568 | FL | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannacare Medical Group LLC | Current | Accepting new patients | |
| Mary Welsh Foundation, Inc. | Community/Behavioral Health | Current | Accepting new patients |
| Pairtu Health Medical Group PA | Current | Accepting new patients | |
| Robin Foster LMHC LLC | Community/Behavioral Health | Current | Accepting new patients |
| Ayan Wellness | Current | Accepting new patients | |
| Learning to Achieve Wellness Inc | Current | Accepting new patients | |
| Coastline Emergency Physicians LLC | Current | Accepting new patients | |
| Coastline Emergency Physicians LLC | Current | Accepting new patients | |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| PM Pediatrics of Delaware PA | Pediatrics | Past | Accepting new patients |
| Pairtu Health Medical Group of California P.C. | Past | Accepting new patients |
Locations
505 Montgomery St
San Francisco, CA 94111
Phone (310) 415-5817
601 Main St
Dunedin, FL 34698
Phone (727) 461-1133
1046 S Florida Ave
Lakeland, FL 33803
Phone (800) 201-3624
390 NE 191st St
Ste 8393
Miami, FL 33179
Phone (669) 231-6870
3820 Gunn Hwy
Ste 100
Tampa, FL 33618
Phone (813) 840-4304
1606 Headway Cir
Ste 9540
Austin, TX 78754
Phone (669) 231-6870
Organizations & group practices 11
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.
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1376055400
Community/Behavioral Health, FL
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1275953291
Community/Behavioral Health, FL
-
- General Practice Physician
- Lakeland, FL
- NPI 1457086985
-
- Clinic/Center
- Lakeland, FL
- NPI 1780345728
-
- Emergency Medicine Physician
- Safety Harbor, FL
- NPI 1487225827
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brandon, FL
- NPI 1033849575
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1871334649
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1295962462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338031118",
"telephone_number": "863-816-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 GUNN HWY STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336188720",
"telephone_number": "813-840-4304",
"fax_number": "813-948-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "AJAY",
"middle_name": "KISHOR",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080C0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Child Abuse Pediatrics",
"state": "FL",
"license": "OS12568",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "FL",
"license": "OS12568",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS12568",
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "FL",
"license": "OS12568",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "PA",
"license": "OS014712",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "OS12568",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.