Archis D Desai, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A144563 Issued in CA

Practice address

1030 Nevada St Ste 101
Redlands, CA 92374-2957

Phone

(909) 966-5500

Fax

(909) 966-5222

NPI assigned

Nov 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Archis Desai MD IncGroup PAC ID 0345501060, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Archis Desai MD Inc.

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1639696412
  Medicare reassignment Care Compare group NPD Authorized official
• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475
  Medicare reassignment NPD
• Arnon Desai MD Inc

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1922722800
  NPD (past)
• Community Hospital of San Bernardino

  dba Community Convalescent Center of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• David Desai MD Inc

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1174901128
  NPD (past)
• Redlands Community Hospital

  • General Acute Care Hospital
  • Redlands, CA
  • NPI 1043354111
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1396141230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NEVADA ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742957",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NEVADA ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742957",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Magnolia Ave Ste 2K",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793122",
            "country_code": "US",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9493 Garfield St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033765",
            "country_code": "US",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9161 Sierra Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923354759",
            "country_code": "US",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 E Devonshire Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925433033",
            "country_code": "US",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 Elks Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924045571",
            "country_code": "US",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13800 Heacock St Ste C114",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925533358",
            "country_code": "US",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ARCHIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A144563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aron John Depew, M.D.
• Tanya Audrey Margaret Deporto, MD, PHD, MPH
• Michelle Depuy, PPS
• Leasa Dering
• Desai Medical Group & Behavioral Health Inc
• Arnon David Desai, M.D.
• David P Desai, M.D.
• Destiny Recovery Center, LLC
• Rachel Detienne, PA-C
• Wayne T. Dewri, PHYSICIAN ASSISTANT

• Internal Medicine Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.