Individual provider Active NPI

Pranav Jitendra Desai, M.D.

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1487896288
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
67412 Issued in GA
Practice address
5665 New Northside Dr NW
Suite 320
Atlanta, GA 30328-5831
Phone
(770) 874-5400
NPI assigned
Mar 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S2283 TX
Emergency Medicine Physician 207P00000X A142981 CA
Emergency Medicine Physician 207P00000X 67412 GA Primary

Addresses

Primary practice location

5665 New Northside Dr NW
Suite 320
Atlanta, GA 30328-5831

Mailing address

1477 Belfaire Lake TRL
Dacula, GA 30019-6785
Phone (678) 749-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120731000814 GA Practitioner - Emergency Medicine 4385800630 Reassigns benefits to 3 organizations
I20160914000608 CA Practitioner - Emergency Medicine 4385800630 Reassigns benefits to 2 organizations
I20200228001102 TX Practitioner - Emergency Medicine 4385800630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 781-1000

Hospital & facility affiliations

  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142981CAMDEmergency Medicine Physician
67412GAMDEmergency Medicine Physician
S2283TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Dec 1, 2012 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Dec 8, 2017 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 1, 2012 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Gwinnett Emergency Specialists, LLC Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC Emergency Medicine PastSince Oct 1, 2023 Accepting new patients

Locations

751 Medical Center Ct
#1182
Chula Vista, CA 91911

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: pdesai3494973@direct.trinity-health.org
  • Direct secure messaging: pranav.desai@direct.myhealthep.org

Organizations & group practices 12

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": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1487896288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 BELFAIRE LAKE TRL",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196785",
            "telephone_number": "678-749-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR NW",
            "address_2": "SUITE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "PRANAV",
        "middle_name": "JITENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-26",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S2283",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A142981",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "67412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.