Individual provider Active NPI

Kirtikant I Desai, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1467512194
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D30494 Issued in MD
Practice address
716 Maiden Choice LN Ste 302
Baltimore, MD 21228-5960
Phone
(410) 747-1324
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D30494 MD Primary

Addresses

Primary practice location

716 Maiden Choice LN Ste 302
Baltimore, MD 21228-5960

Mailing address

716 Maiden Choice LN Ste 302
Baltimore, MD 21228-5960
Phone (410) 747-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20081002000226 MD Practitioner - Internal Medicine 0648348748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

516 N Rolling Rd
Suite 104
Baltimore, MD 21228-4141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D30494MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirtikant I Desai MD PA Internal Medicine CurrentSince Jul 29, 2008 Accepting new patients
1502 Frederick Road Opco LLC Past Accepting new patients

Locations

716 Maiden Choice Ln
Ste 302
Catonsville, MD 21228
Phone (410) 747-0626

516 N Rolling Rd
Ste 104
Catonsville, MD 21228
Phone (410) 744-4222

Interoperability endpoints

  • Direct secure messaging: kdesai6061@direct.umm.edu
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1467512194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MAIDEN CHOICE LN STE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285960",
            "telephone_number": "410-747-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MAIDEN CHOICE LN STE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285960",
            "telephone_number": "410-747-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KIRTIKANT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D30494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.