Shreyas Arvind Desai, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01027933A Issued in IN

Practice address

2640 Hamstrom Rd
Portage, IN 46368-3832

Phone

(219) 762-9523

Fax

(219) 763-3120

NPI assigned

Jun 1, 2005

Last updated

Aug 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Internal Medicine

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Geriatrics and Oncology Group PCGroup PAC ID 1153338348, 5 clinicians

Physician Care Solutions PCGroup PAC ID 3678903465, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Internal Medicine,Geriatrics and Oncology Group, P.C.

  • Internal Medicine Physician
  • Portage, IN
  • NPI 1417983537
  Medicare reassignment Care Compare group NPD
• Physician Care Solutions P.C.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1285265983

  IN

  Medicare reassignment Care Compare group NPD
• Pinnacle Healthcare, LLC

  dba Lake Orthopedic and Spine

  • Multi-Specialty Clinic/Center
  • Merrillville, IN
  • NPI 1922546530
  Medicare reassignment NPD
• New Beginnings Suboxone Treatment, LLC Corp

  • Internal Medicine Physician
  • Portage, IN
  • NPI 1114315041
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation
• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1386646529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HAMSTROM RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463683832",
            "telephone_number": "219-762-9523",
            "fax_number": "219-763-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HAMSTROM RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463683832",
            "telephone_number": "219-762-9523",
            "fax_number": "219-763-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHREYAS",
        "middle_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IN",
            "license": "01027933A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01027933A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100157480A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200201230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Defauw
• Ernest Delgado, PTA
• Veronica Deluna, RN
• Dependable Chiropractic, P.C.
• Ruchik S Desai, MD
• Leslie A Detienne
• Alexanadria Devon
• Dewar Chiropractic Inc.
• Daniel Raleigh Dewar, D.C.
• Bao Q Dinh, DDS

• Internal Medicine Physician in Portage, IN
• Providers in Portage, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.