Individual provider Active NPI

Niraj N. Desai, M.D.

  • Ophthalmology Physician
  • Cumming, GA
National Provider Identifier
1508048802
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
69159 Issued in GA
Practice address
1034 Haw Creek Cir Ste 100
Cumming, GA 30041-6513
Phone
(678) 381-2020
Fax
(678) 381-2015
NPI assigned
Nov 29, 2007
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A107685 CA
Ophthalmology Physician 207W00000X 69159 GA Primary

Addresses

Primary practice location

1034 Haw Creek Cir Ste 100
Cumming, GA 30041-6513

Mailing address

1034 Haw Creek Cir Ste 100
Cumming, GA 30041-6513
Phone (678) 381-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130411000187 GA Practitioner - Ophthalmology 3476605650 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milan Eye LLCGroup PAC ID 2668519109, 21 clinicians

Practice addresses (Care Compare)

11315 Johns Creek Pkwy
Suite 300
Johns Creek, GA 30097-1517
Phone (678) 381-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
94
Promoting interoperability
71
Improvement activities
40
Cost
77.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107685CAMDClinical Social Worker
A107685CAMDOphthalmology Physician
69159GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpharetta Eye Surgery Center LLC CurrentSince Jul 29, 2019 Accepting new patients
Buford Eye Surgery Center CurrentSince Mar 11, 2015 Accepting new patients
Forsyth Eye Surgery Center, LLC CurrentSince Feb 17, 2024 Accepting new patients
Roswell Eye Surgery Center, LLC CurrentSince Dec 28, 2015 Accepting new patients
Milan Eye LLC Ophthalmology CurrentSince Apr 1, 2013 Accepting new patients
Canton Eye Surgery Center CurrentSince Mar 25, 2015 Accepting new patients
Woodhams Laser & Lens Implant Center LLC Past Accepting new patients

Locations

2555 Westside Pkwy
Ste 300
Alpharetta, GA 30004
Phone (678) 771-6971

2555 Westside Pkwy
Ste 325
Alpharetta, GA 30004

1995 Mall of Georgia Blvd
Ste C
Buford, GA 30519
Phone 67838120201022

201 Kimberly Way
Ste 104
Canton, GA 30114

970 Sanders Rd
Ste 100
Cumming, GA 30041

270 Walmart Way
Dahlonega, GA 30533
Phone (706) 867-6918

73 Prestige Ln
Ste 201
Dawsonville, GA 30534

3775 Roswell Rd
Ste 175
Marietta, GA 30062

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

1300 Peachtree Industrial
Dallas, TX 75373

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1508048802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 HAW CREEK CIR STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416513",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 HAW CREEK CIR STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416513",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NIRAJ",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A107685",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "69159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.