Individual provider Active NPI

Manish D Desai, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1316962137
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2200 Issued in TX
Practice address
5941 Dallas Pkwy
Plano, TX 75093-9001
Phone
(972) 758-4455
Fax
(972) 758-4433
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2200 TX Primary

Addresses

Primary practice location

5941 Dallas Pkwy
Plano, TX 75093-9001

Mailing address

5941 Dallas Pkwy
Plano, TX 75093-9001
Phone (972) 758-4455

Other identifiers 1

IdentifierTypeStateIssuer
84163XOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110728000499 TX Practitioner - Family Practice 1355254855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors of Internal Medicine PAGroup PAC ID 5092750620, 27 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

5941 Dallas Pkwy
Suite 100
Plano, TX 75093-9002
Phone (972) 758-4455

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2200TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Internal Medicine PLLC CurrentSince Feb 13, 2012 Accepting new patients
Fitstar Physical Therapy Past Accepting new patients

Locations

240 Adriatic Pkwy
McKinney, TX 75072
Phone (972) 369-1471

5941 Dallas Pkwy
Plano, TX 75093
Phone (972) 758-4455

5941 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (972) 758-4455

Interoperability endpoints

  • Direct secure messaging: manish.desai@doim.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1316962137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 DALLAS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939001",
            "telephone_number": "972-758-4455",
            "fax_number": "972-758-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 DALLAS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939001",
            "telephone_number": "972-758-4455",
            "fax_number": "972-758-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MANISH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84163X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.