Individual provider Active NPI

Dipan A. Desai, D.O.

  • Cardiovascular Disease Physician
  • Bel Air, MD
National Provider Identifier
1508832692
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H69649 Issued in MD
Practice address
520 Upper Chesapeake Dr
Ste 201
Bel Air, MD 21014-4339
Phone
(443) 643-3800
Fax
(443) 643-3856
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS013114 PA
Cardiovascular Disease Physician 207RC0000X H69649 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr
Ste 201
Bel Air, MD 21014-4339

Mailing address

520 Upper Chesapeake Dr
Ste 201
Bel Air, MD 21014-4339
Phone (443) 643-3800

Other identifiers 1

IdentifierTypeStateIssuer
418154900MedicaidMD

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
I20091005000285 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5597785089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Chesapeake Cardiology, LLCGroup PAC ID 4183788847, 13 clinicians

Practice addresses (Care Compare)

520 Upper Chesapeake Dr
Suite 201
Bel Air, MD 21014-4360
Phone (443) 643-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H69649MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Cardiology Associates Inc Cardiovascular Disease CurrentSince Oct 15, 2014 Accepting new patients
Upper Chesapeake Cardiology, LLC Cardiovascular Disease CurrentSince Jun 30, 2014 Accepting new patients

Locations

650 McHenry Rd
Ste 3400
Aberdeen, MD 21001
Phone (443) 843-7400

520 Upper Chesapeake Dr
Ste 201
Bel Air, MD 21014
Phone (410) 893-3122

2027 Pulaski Hwy
Ste 206
Hvre de Grace, MD 21078
Phone (410) 642-9000

Interoperability endpoints

  • Direct secure messaging: ddesai651581@direct.umm.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1508832692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "STE 201",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-3800",
            "fax_number": "443-643-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "STE 201",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-3800",
            "fax_number": "443-643-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "DIPAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013114",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "H69649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418154900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.