Active NPI
Rajendra Shantilal Desai, M.D.
- Cardiovascular Disease Physician
- Terre Haute, IN
National Provider Identifier
1346356920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01035315A
- Practice address
- 1429 N 6TH St
Terre Haute, IN 47807-1037 - Phone
- (812) 242-3175
- Fax
- (812) 242-3543
- NPI assigned
- Aug 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01035315A | IN | Primary |
Addresses
Primary practice location
1429 N 6TH St
Terre Haute, IN 47807-1037
Mailing address
221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3175
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00844272 | Other | IN | RAILROAD MEDICARE |
| 4062046 | Other | AETNA ASSIGNED | |
| I018482D005 | Other | UNISYS CHAMPUS SECONDARY | |
| 100251700 | Medicaid | IN | |
| 100251700A | Other | IN | MOLINA HEALTHCARE MCAID |
| 351904269123 | Other | CARESOURCE MEDICAID | |
| 000000089586 | Other | ANTHEM | |
| 110044260 | Other | IN | RAILROAD MEDICARE |
| 166830 | Other | HEALTHLINK | |
| 060004992 | Other | RAILROAD MCARE PALAMETTO | |
| 0182868 | Other | US DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital Inc. | Current | Accepting new patients |
Locations
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115
1429 N 6th St
Ofc
Terre Haute, IN 47807
Interoperability endpoints
- rdesai@unionhealth.cernerdirect.com
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1346356920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074214",
"telephone_number": "812-242-3175",
"fax_number": "812-242-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 N 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478071037",
"telephone_number": "812-242-3175",
"fax_number": "812-242-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "RAJENDRA",
"middle_name": "SHANTILAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01035315A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00844272",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ASSIGNED",
"identifier": "4062046",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISYS CHAMPUS SECONDARY",
"identifier": "I018482D005",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100251700",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE MCAID",
"identifier": "100251700A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE MEDICAID",
"identifier": "351904269123",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000089586",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110044260",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "166830",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE PALAMETTO",
"identifier": "060004992",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "0182868",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.