Ajitkumar M Desai, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35039068D Issued in OH

Practice address

27 St Lawrence Dr Ste 203
Tiffin, OH 44883-8314

Phone

(419) 455-8570

Fax

(419) 455-8579

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mercy Health - Tiffin Hospital LLC

  • Rural Health Clinic/Center
  • New Washington, OH
  • NPI 1053965053
  NPD (past)
• Mercy Health - Tiffin Hospital LLC

  • Cardiovascular Disease Physician
  • Tiffin, OH
  • NPI 1215951645
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1457398588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR STE 203",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838314",
            "telephone_number": "419-455-8570",
            "fax_number": "419-455-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR STE 203",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838314",
            "telephone_number": "419-455-8570",
            "fax_number": "419-455-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "AJITKUMAR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35039068D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0405690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Nicole Delisi, CCC-SLP
• Aniya Kennedi Demonte
• Makayla Rose Demoss, LPCC
• Molly Depew
• Tyson Depinet
• Deuce Co
• Alyssa Devor, PT, DPT
• Brooke Devore
• Janet Marie Dickerson, L.P.C.C., R.N.,
• Marissa Anne Dickinson

• All providers in Tiffin, OH
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.