Active NPI
Tushar M Desai, M.D.
- Psychiatry Physician
- San Marcos, TX
National Provider Identifier
1407900350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- J2443
- Practice address
- 120 Bert Brown St
San Marcos, TX 78666-5803 - Phone
- (512) 396-8500
- Fax
- (512) 754-3881
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | J2443 | TX | Primary |
Addresses
Primary practice location
120 Bert Brown St
San Marcos, TX 78666-5803
Mailing address
5120 Eagle Trace TRL
Austin, TX 78730-1480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080408000680 | TX | Practitioner - Psychiatry | 6608953195 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2443 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Community MHMR Center | Current | Accepting new patients |
Locations
819 Water St
Ste 300
Kerrville, TX 78028
Phone (830) 258-5430
1200 N Bishop St
San Marcos, TX 78666
Phone (512) 392-7104
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Kerrville, TX
- NPI 1841304201
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407900350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 EAGLE TRACE TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BERT BROWN ST",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786665803",
"telephone_number": "512-396-8500",
"fax_number": "512-754-3881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "TUSHAR",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "J2443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.