Individual provider Active NPI

Sudhen B Desai, MD

  • Vascular & Interventional Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1376563700
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2026034164 Issued in MO
Practice address
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone
(314) 617-2000
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 2026034164 MO Primary
Vascular & Interventional Radiology Physician 2085R0204X 61905 AZ
Vascular & Interventional Radiology Physician 2085R0204X M8628 TX
Vascular & Interventional Radiology Physician 2085R0204X TP118 KY

Addresses

Primary practice location

1201 S Grand Blvd
Saint Louis, MO 63104-1016

Mailing address

4614 E Ocotillo Rd
Paradise Valley, AZ 85253-4033

Other practice location 1

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080404000583 TX Practitioner - Diagnostic Radiology 6901801190 Reassigns benefits to 1 organization
I20201007001691 AZ Practitioner - Diagnostic Radiology 6901801190 Reassigns benefits to 3 organizations
I20260618000639 KY Practitioner - Interventional Radiology 6901801190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Children'S HospitalGroup PAC ID 0446278584, 431 clinicians

Practice addresses (Care Compare)

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930

Hospital & facility affiliations

  • Phoenix Children'S Hospital Hospital, Phoenix, AZ, CCN 033302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP118KYMDInfectious Disease Physician
61905AZMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Medical Group CurrentSince Nov 1, 2020 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Nov 1, 2020 Accepting new patients
James F McGuckin MD Inc Vascular & Interventional Radiology CurrentSince Sep 2, 2012 Accepting new patients
Phoenix Children'S Hospital Current Accepting new patients
Texas Children'S Physician Group CurrentSince May 2, 2017 Accepting new patients
Houston Radiology Associated Diagnostic Radiology Past Accepting new patients
Affiliated Radiologists, SC Past Accepting new patients

Locations

1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005

3370 S Mercy Rd
Ste 112
Gilbert, AZ 85297

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777

20325 N 51st Ave
Ste 116
Glendale, AZ 85308
Phone (602) 933-1010

6524 W Sack Dr
Ste 130
Glendale, AZ 85308

5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

6701 Fannin St
Ste 470
Houston, TX 77030
Phone (832) 824-7237

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 10

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 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1376563700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 E OCOTILLO RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041016",
            "telephone_number": "314-617-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021821",
            "country_code": "US",
            "telephone_number": "502-629-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SUDHEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2026034164",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "61905",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "M8628",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KY",
            "license": "TP118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.