NPIMap

Organization Active NPI

Vikas Desai MD PC

  • Internal Medicine Physician
  • East Islip, NY
National Provider Identifier
1407096282
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
248243 Issued in NY
Legal business name
VIKAS DESAI MD PC
Practice address
45 E Main St
East Islip, NY 11730-2502
Phone
(631) 581-0737
Fax
(631) 581-0729
NPI assigned
Mar 6, 2009
Last updated
May 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Vikas Desai, MDNPI 1922069012
Title
Doctor
Phone
(631) 581-0737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 248243 NY Primary

Addresses

Primary practice location

45 E Main St
East Islip, NY 11730-2502

Mailing address

45 E Main St
East Islip, NY 11730-2502
Phone (631) 581-0737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090331000078 NY Part B Supplier - Clinic/Group Practice 6406913805 Receives reassigned benefits from 9 practitioners
Practice locations: Bayport, NY; Brentwood, NY; East Islip, NY; Farmingville, NY; Riverhead, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1104131Vikas Desai, MD PC45 East Main Street, East Islip, NY 11730Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

Locations

45 E Main St
East Islip, NY 11730
Phone (631) 581-0737

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEGBD

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1407096282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302502",
            "telephone_number": "631-581-0737",
            "fax_number": "631-581-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302502",
            "telephone_number": "631-581-0737",
            "fax_number": "631-581-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKAS DESAI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-581-0737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "248243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.