Individual provider Active NPI

Tina R. Desai, MD

  • Vascular Surgery Physician
  • Greenbrae, CA
National Provider Identifier
1629147897
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G135453 Issued in CA
Practice address
1100 S Eliseo Dr Ste 2a
Greenbrae, CA 94904-2017
Phone
(415) 464-5400
Fax
(415) 464-5411
NPI assigned
Nov 6, 2006
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G135453 CA Primary
Vascular Surgery Physician 2086S0129X 036087065 IL

Addresses

Primary practice location

1100 S Eliseo Dr Ste 2a
Greenbrae, CA 94904-2017

Mailing address

1100 S Eliseo Dr Ste 2a
Greenbrae, CA 94904-2017
Phone (415) 464-5400

Other practice location 1

75 Rowland Way Ste 131
Novato, CA 94945-5054
Phone (415) 464-5400

Other practice location 2

651 1st St W Ste K
Sonoma, CA 95476-7046
Phone (415) 464-5400

Other identifiers 1

IdentifierTypeStateIssuer
036-087065OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150615002586 CA Practitioner - Vascular Surgery 0840200937 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135453CAMDClinical Social Worker
G135453CAMDVascular Surgery Physician
036087065ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Jan 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Nov 27, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 27, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 27, 2019 Accepting new patients
UCSF Dept of Surgery Vascular Surgery CurrentSince Nov 27, 2019 Accepting new patients
University of California San Francisco CurrentSince Nov 27, 2019 Accepting new patients
University of Chicago CurrentSince Jan 2, 1990 Accepting new patients
University of California San Francisco Current Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients
The University of Chicago Medical Centers Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients
Marin General Hospital Past Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Interoperability endpoints

  • FHIR API: https://haiku.northshore.org/Interconnect-FHIR/api/FHIR/R4/
  • Direct secure messaging: tdesai106591@direct-ucsfmedicalcenter.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1629147897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ELISEO DR STE 2A",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042017",
            "telephone_number": "415-464-5400",
            "fax_number": "415-464-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S ELISEO DR STE 2A",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042017",
            "telephone_number": "415-464-5400",
            "fax_number": "415-464-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Rowland Way Ste 131",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455054",
            "country_code": "US",
            "telephone_number": "415-464-5400",
            "fax_number": "415-464-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 1st St W Ste K",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954767046",
            "country_code": "US",
            "telephone_number": "415-464-5400",
            "fax_number": "415-464-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "TINA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G135453",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036087065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-087065",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.