Vajendra J Desai, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301037172 Issued in MI

Practice address

1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607

Phone

(616) 957-2235

Fax

(616) 464-4234

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Forest View Psychiatric Hospital Inc

  • Psychiatric Hospital
  • Grand Rapids, MI
  • NPI 1740251313
  NPD
• Forest View Psychiatric Hospital Inc

  • Neurology Physician
  • Grand Rapids, MI
  • NPI 1902808272
  NPD
• Recovery Physicians Network of Michigan

  • Addiction (Substance Use Disorder) Psychologist
  • Auburn Hills, MI
  • NPI 1689343683

  Psychiatry

  NPD
• Claystone Clinical Associates PLC

  • Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1336668698
  NPD (past)
• Claystone Clinical Associates PLC

  • Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1619927142
  NPD (past)
• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1982072963
  NPD (past)
• Kent Residential Centers, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Grand Rapids, MI
  • NPI 1376722868
  NPD (past)
• Thresholds Inc

  • Case Management Agency
  • Grand Rapids, MI
  • NPI 1154403467
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1629040852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463607",
            "telephone_number": "616-957-2235",
            "fax_number": "616-464-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463607",
            "telephone_number": "616-957-2235",
            "fax_number": "616-464-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "VAJENDRA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301037172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2574806",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita M Dery, PT
• Harsh Desai, M.D.
• Pratikkumar Vrajeshbhai Desai, M.D.
• Rucha Desai, MD
• Sunil J Desai, DDS
• Abby Desantis, QMHP
• Deanna M Deschler, MD
• Madysun Marie Desgrange
• Jana Ruth Deshane, BS
• Kandis Koreen Deshaw, LMSW

• Psychiatry Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.