Lekha Koppolu Desai, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

2024-01714 Issued in NC

Practice address

4414 Lake Boone TRL Ste 302
Raleigh, NC 27607-7514

Phone

(919) 782-8038

NPI assigned

Mar 28, 2013

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Lekha Koppolu Mukkamala Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Ophthalmology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Associates, PLLCGroup PAC ID 3870498876, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rex Hospital Hospital, Raleigh, NC, CCN 340114

Merit-based Incentive Payment System (MIPS)

Final score

91.52 of 100Reported as group

Quality

95.9

Promoting interoperability

100

Improvement activities

40

Cost

75.81

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldesai@northcarolinaretina.intellechartdirect.net

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.

• Retina Associates, PLLC

  dba North Carolina Retina Associates, PC

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1760408397
  Medicare reassignment Care Compare group NPD
• Retina Associates of New Jersey PA

  • Retina Specialist (Ophthalmology) Physician
  • Kenilworth, NJ
  • NPI 1457369738
  NPD (past)
• Rutgers New Jersey Medical School

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1619383585
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rex Hospital Inc.

  dba Rex Hospital

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1497797088
  Care Compare affiliation

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1548503543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 302",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077514",
            "telephone_number": "919-782-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 302",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077514",
            "telephone_number": "919-782-8038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bergen St # I-248",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032496",
            "country_code": "US",
            "telephone_number": "973-972-6056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4860 Y St Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95817",
            "country_code": "US",
            "telephone_number": "916-734-6602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "LEKHA",
        "middle_name": "KOPPOLU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A148705",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA10541500",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NC",
            "license": "2024-01714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEKHA",
            "last_name": "MUKKAMALA",
            "middle_name": "KOPPOLU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Josephine Redwine Deronja, M.ED., LPC, NCC
• Jennifer L. Derosa, DPT
• Frederick Joseph Derosier, DO
• Amita Ajit Desai, M.D.
• Jinal Bharatkumar Desai, MD
• Neha Desai, FNP
• Ninad Desai
• Pankti J Desai, P.T
• Priya Dipak Desai
• Ashley Swinson Desaix, DDS, MPH, D-ABDSM

• Retina Specialist (Ophthalmology) Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Retina Specialist (Ophthalmology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.