Active NPI
Biren Desai MD PSC
- Internal Medicine Physician
- Elizabethtown, KY
National Provider Identifier
1457404584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BIREN DESAI MD PSC
- Practice address
- 913 N Dixie Ave
Elizabethtown, KY 42701-2503 - Phone
- (270) 737-1212
- Fax
- (270) 706-1153
- NPI assigned
- Jan 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Biren Desai, MD
- Title
- Physician and Owner
- Phone
- (270) 737-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | KY | Primary |
Addresses
Primary practice location
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Mailing address
PO Box 2185
Elizabethtown, KY 42702-2185
Phone (270) 737-1212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2440912000 | Other | PASSPORT ADVANTAGE | |
| 65939902 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
Dept 8901
Carol Stream, IL 60122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229904000000",
"number": "1457404584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2185",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427022185",
"telephone_number": "270-737-1212",
"fax_number": "270-706-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 N DIXIE AVE",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012503",
"telephone_number": "270-737-1212",
"fax_number": "270-706-1153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIREN DESAI MD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-20",
"last_updated": "2008-12-22",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "BIREN",
"authorized_official_title_or_position": "PHYSICIAN AND OWNER",
"authorized_official_telephone_number": "270-737-1212",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2440912000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65939902",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.