Individual provider Active NPI

Mit Navanit Desai, MD

  • Surgery Physician
  • Brooksville, FL
National Provider Identifier
1407822422
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME 87408 Issued in FL
Practice address
17222 Hospital Blvd Ste 116
Brooksville, FL 34601-8925
Phone
(813) 751-0427
Fax
(813) 948-0000
NPI assigned
Feb 28, 2006
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME 87408 FL Primary

Addresses

Primary practice location

17222 Hospital Blvd Ste 116
Brooksville, FL 34601-8925

Mailing address

PO Box 21647
Tampa, FL 33622-1647
Phone (813) 530-5043

Other identifiers 1

IdentifierTypeStateIssuer
267583800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV, CA3 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
I20040628001292 FL Practitioner - General Surgery 9638155831 Reassigns benefits to 1 organization
I20220121001778 NV Practitioner - General Surgery 9638155831 Reassigns benefits to 1 organization
I20230206002683 CA Practitioner - General Surgery 9638155831 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 87408FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgicalist of FL PLLC Surgery CurrentSince Dec 1, 2006 Accepting new patients
NV Surgicalist PLLC Surgery CurrentSince Jul 1, 2021 Accepting new patients
Surgicalists of Ca PC Surgery CurrentSince Oct 3, 2019 Accepting new patients
Wuesthoff Memorial Hospital Inc Past Accepting new patients
Okc Surgicalists PLLC Surgery PastSince Jan 1, 2020 Accepting new patients
Surgicalist Company LLC Surgery PastSince Jun 25, 2013 Accepting new patients
Desai Surgical Care Surgery PastSince Jan 1, 1990 Accepting new patients
Surgicalist of Az PLLC Surgery PastSince May 1, 2018 Accepting new patients
South Tampa Surgical PLLC Surgery Past Accepting new patients

Locations

1041 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0121

155 N Jackson Ave
Ste 201
San Jose, CA 95116
Phone (408) 770-5224

17222 Hospital Blvd
Ste 116
Brooksville, FL 34601
Phone (352) 754-0500

19105 N US Highway 41
Ste 300
Lutz, FL 33549
Phone (813) 751-0247

7010 Smoke Ranch Rd
Ste 120
Las Vegas, NV 89128
Phone (702) 477-7044

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1407822422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21647",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336221647",
            "telephone_number": "813-530-5043",
            "fax_number": "813-530-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 116",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "813-751-0427",
            "fax_number": "813-948-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MIT",
        "middle_name": "NAVANIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 87408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267583800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.