Sureshchandra N. Desai, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME29225 Issued in FL

Practice address

4500 W Midway Rd
Fort Pierce, FL 34981-4823

Phone

(772) 468-5600

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518051325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 PLANTATION LAKES DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863011",
            "telephone_number": "772-489-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814823",
            "telephone_number": "772-468-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SURESHCHANDRA",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME29225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0371467-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dentaland, Ft Pierce
• Constance Ellen Denya, R.D.
• Tricia Dequarto
• Brooke Derby
• Allison Jane Derocher, M.S. CCC-SLP
• Desert Rose Detox LLC
• Designer Wellness
• Katelyn Desmond, BSN
• Jude Desormeau, M.D.
• Nancy Dessources

• Psychiatry Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.