NPIMap

Organization Active NPI

Kishor K Desai MD Inc

  • Diagnostic Radiology Physician
  • Mansfield, OH
National Provider Identifier
1295975431
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35047621 Issued in OH
Legal business name
KISHOR K DESAI MD INC
Practice address
1160 Deer Run Rd
Mansfield, OH 44906-3412
Phone
(419) 756-1411
NPI assigned
Feb 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Kishor K DesaiNPI 1801949193
Title
Owner
Phone
(419) 756-1411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 35047621 OH Primary

Addresses

Primary practice location

1160 Deer Run Rd
Mansfield, OH 44906-3412

Mailing address

1160 Deer Run Rd
Mansfield, OH 44906-3412
Phone (419) 756-1411

Other identifiers 1

IdentifierTypeStateIssuer
2903906MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1295975431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 DEER RUN RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063412",
            "telephone_number": "419-756-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 DEER RUN RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063412",
            "telephone_number": "419-756-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHOR K DESAI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-28",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-756-1411",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35047621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2903906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.