Individual provider Active NPI

Ajay Kishor Desai, D.O.

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1295962462
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS12568 Issued in FL
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

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 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
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, IncGroup PAC ID 2365700259, 4 clinicians

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

LicenseStateTypeSpecialty
OS12568FLMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Cannacare Medical Group LLC CurrentSince Aug 28, 2022 Accepting new patients
Mary Welsh Foundation, Inc. Community/Behavioral Health CurrentSince Dec 17, 2023 Accepting new patients
Pairtu Health Medical Group PA CurrentSince Mar 7, 2025 Accepting new patients
Robin Foster LMHC LLC Community/Behavioral Health CurrentSince May 1, 2024 Accepting new patients
Ayan Wellness Current Accepting new patients
Learning to Achieve Wellness Inc CurrentSince Jul 25, 2025 Accepting new patients
Coastline Emergency Physicians LLC CurrentSince Apr 22, 2018 Accepting new patients
Coastline Emergency Physicians LLC CurrentSince Apr 22, 2018 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.

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

Verify at the official NPI Registry.