Individual provider Active NPI

Sonia Praful Desai, M.D.

  • Child & Adolescent Psychiatry Physician
  • Broadview HTS, OH
National Provider Identifier
1376702506
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35-125659 Issued in OH
Practice address
7500 Town Centre Dr Ste 300
Broadview HTS, OH 44147-4048
Phone
(440) 554-0035
NPI assigned
Jun 3, 2008
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD444502 PA
Child & Adolescent Psychiatry Physician 2084P0804X 4301076601 MI
Child & Adolescent Psychiatry Physician 2084P0804X 35-125659 OH Primary

Addresses

Primary practice location

7500 Town Centre Dr Ste 300
Broadview HTS, OH 44147-4048

Mailing address

7500 Town Centre Dr Ste 300
Broadview HTS, OH 44147-4048
Phone (440) 554-0035

Other practice location 1

7265 Old Oak Blvd
Cleveland, OH 44130-3342
Phone (440) 816-5790

Other names 1

  • Sonia Shah Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdesai@direct.swgeneral.com Southwest General Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150417000257 OH Practitioner - Psychiatry 4587980503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Minds LLCGroup PAC ID 1456679752, 3 clinicians

Practice addresses (Care Compare)

7500 Town Centre Dr
Suite 300
Broadview HTS, OH 44147-4048
Phone (440) 554-0035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301076601MIMDChild & Adolescent Psychiatry Physician
35-125659OHMDChild & Adolescent Psychiatry Physician
MD444502PAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc Current Accepting new patients
Southwest General Medical Group Inc CurrentSince Aug 31, 2020 Accepting new patients
Southwest General Medical Group, Inc. CurrentSince Aug 31, 2020 Accepting new patients
Haely Chiropractic, Inc. CurrentSince Jan 5, 2020 Accepting new patients

Locations

7500 Town Centre Dr
Ste 300
Broadview Hts, OH 44147
Phone (440) 554-0035

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

7265 Old Oak Blvd
Middleburg Heights, OH 44130
Phone (440) 816-5790

Interoperability endpoints

  • Direct secure messaging: comprehensivemindsllc.soniadesai@147239.advancedmd-direct.com
  • Direct secure messaging: sdesai@direct.swgeneral.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1376702506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 TOWN CENTRE DR STE 300",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474048",
            "telephone_number": "440-554-0035",
            "fax_number": "440-596-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 TOWN CENTRE DR STE 300",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474048",
            "telephone_number": "440-554-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7265 Old Oak Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441303342",
            "country_code": "US",
            "telephone_number": "440-816-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SONIA",
        "middle_name": "PRAFUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD444502",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301076601",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35-125659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdesai@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group, Inc.",
            "address_1": "7265 Old Oak Blvd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "SHAH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broadview HTS, OH

Sources for this page

Verify at the official NPI Registry.