Individual provider Active NPI

Niraj Suresh Desai, M.D.

  • Nephrology Physician
  • Charlotte, NC
National Provider Identifier
1649246059
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4061 Issued in WI
Practice address
8724 Barrelli CT
Charlotte, NC 28277-0269
Phone
(808) 634-0829
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4061 WI Primary
Nephrology Physician 207RN0300X 87484 SC

Addresses

Primary practice location

8724 Barrelli CT
Charlotte, NC 28277-0269

Mailing address

8724 Barrelli CT
Charlotte, NC 28277-0269

Other practice location 1

116 Northport Ave
Belfast, ME 04915-6095
Phone (207) 338-9570

Other practice location 2

4473 Pahee St
Suite L
Lihue, HI 96766-2037
Phone (808) 632-0200

Other practice location 3

1123 Spring St
Greenwood, SC 29646-3833
Phone (864) 450-9036

Other identifiers 8

IdentifierTypeStateIssuer
0030666OtherHIUNIVERSITY HLTH ALLIANCE
MD10952OtherHICIGNA
00B0219267OtherHIHMSA
49496403OtherHIALOHA CARE
49496403MedicaidHI
MD10952OtherHIAETNA
F29068OtherHIKAISER
MD10952OtherHIMDX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210830000388 ME Practitioner - NephrologyPractitioner - Internal Medicine 3971560434 Reassigns benefits to 1 organization
I20260224004068 SC Practitioner - Nephrology 3971560434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Michigan Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

1123 Spring St
Greenwood, SC 29646-3833
Phone (864) 450-9036

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87484SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology CurrentSince Jun 13, 2022 Accepting new patients
Self Medical Group CurrentSince Mar 1, 2026 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Jul 7, 2023 Accepting new patients
Maine Medical Partners CurrentSince Jul 7, 2023 Accepting new patients
Self Medical Group Nephrology CurrentSince Mar 1, 2026 Accepting new patients

Locations

5265 Vance St
Ste 200
Arvada, CO 80002
Phone (303) 232-3366

4891 Independence St
Ste 120
Wheat Ridge, CO 80033
Phone (303) 232-3366

75 Remittance Dr
Dept 6764
Chicago, IL 60675

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

1123 Spring St
Greenwood, SC 29646
Phone (864) 450-8036

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1649246059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8724 BARRELLI CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8724 BARRELLI CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770269",
            "telephone_number": "808-634-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Northport Ave",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156095",
            "country_code": "US",
            "telephone_number": "207-338-9570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4473 Pahee St",
            "address_2": "Suite L",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967662037",
            "country_code": "US",
            "telephone_number": "808-632-0200",
            "fax_number": "808-632-0201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1123 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463833",
            "country_code": "US",
            "telephone_number": "864-450-9036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NIRAJ",
        "middle_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "4061",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "87484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HLTH ALLIANCE",
            "identifier": "0030666",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "MD10952",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00B0219267",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "49496403",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49496403",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "MD10952",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "F29068",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX",
            "identifier": "MD10952",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.