NPIMap

Individual provider Active NPI

Rajesh Kantilal Desai, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Melbourne, FL
National Provider Identifier
1427057256
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME78676 Issued in FL
Practice address
2290 W Eau Gallie Blvd
Suite 100
Melbourne, FL 32935-3133
Phone
(321) 309-9000
Fax
(321) 309-9002
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME78676 FL Primary

Addresses

Primary practice location

2290 W Eau Gallie Blvd
Suite 100
Melbourne, FL 32935-3133

Mailing address

2290 W Eau Gallie Blvd
Suite 100
Melbourne, FL 32935-3133
Phone (321) 309-9000

Other identifiers 1

IdentifierTypeStateIssuer
257527200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000412 FL Practitioner - Endocrinology 6406825868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

2290 W Eau Gallie Blvd
Suite 100
Melbourne, FL 32935-3134
Phone (321) 309-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Brevard LLC CurrentSince Aug 4, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2290 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone (321) 309-9000

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

2200 W Eau Gallie Blvd
Ste 202B
Melbourne, FL 32935
Phone (321) 254-7717

2290 W Eau Gallie Blvd
Ste 108
Melbourne, FL 32935
Phone (321) 253-2700

450 Malabar Rd SE
Palm Bay, FL 32907
Phone (321) 752-3888

Interoperability endpoints

  • Direct secure messaging: rajeshdesai@mab.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1427057256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W EAU GALLIE BLVD",
            "address_2": "SUITE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353133",
            "telephone_number": "321-309-9000",
            "fax_number": "321-309-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 W EAU GALLIE BLVD",
            "address_2": "SUITE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353133",
            "telephone_number": "321-309-9000",
            "fax_number": "321-309-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "RAJESH",
        "middle_name": "KANTILAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME78676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257527200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.