Individual provider Active NPI

Roshani J Desai, MD

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1457554834
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01072944A Issued in IN
Practice address
621 S New Ballas Rd Ste 584a
Saint Louis, MO 63141-8261
Phone
(314) 251-3600
Fax
(314) 251-3601
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01072944A IN Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 584a
Saint Louis, MO 63141-8261

Mailing address

621 S New Ballas Rd Ste 584a
Saint Louis, MO 63141-8261
Phone (314) 251-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000357 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 1052457520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Gastroenterology LLCGroup PAC ID 8628121795, 66 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 584a
Saint Louis, MO 63141-8261
Phone (314) 251-3600

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Upper gastrointestinal (GI) endoscopy for acid reflux40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072944AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SLH Physicians LLC CurrentSince Nov 26, 2019 Accepting new patients
Mercy Clinic Gastroenterology, LLC Gastroenterology CurrentSince Oct 7, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Major Hospital Past Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

15945 Clayton Rd
Ste 220
Ballwin, MO 63011
Phone (314) 487-9300

200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

615 S New Ballas Rd
Ste 1200
Saint Louis, MO 63141
Phone (314) 251-2880

621 S New Ballas Rd
Ste 584A
Saint Louis, MO 63141
Phone (314) 251-3380

621 S New Ballas Rd
Ste 598A
Saint Louis, MO 63141
Phone (314) 251-3380

Interoperability endpoints

  • Direct secure messaging: roshani.desai@mbhdq.medalliesdirect.net

Organizations & group practices 5

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 3

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1457554834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 584A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418261",
            "telephone_number": "314-251-3600",
            "fax_number": "314-251-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 584A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418261",
            "telephone_number": "314-251-3600",
            "fax_number": "314-251-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ROSHANI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01072944A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.