Active NPI
Kamlesh Shivlal Desai, MD
- Orthopaedic Surgery Physician
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 118213
- Practice address
- 65 Pennsylvania Ave
Orthopedic Associates
Binghamton, NY 13903 - Phone
- (607) 723-5393
- Fax
- (607) 771-0803
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 118213 | NY | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 118213 | NY |
Addresses
Primary practice location
65 Pennsylvania Ave
Orthopedic Associates
Binghamton, NY 13903
Mailing address
65 Pennsylvania Ave
Orthopedic Associates
Binghamton, NY 13903
Phone (607) 723-5393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00487449 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
65 Pennsylvania Ave
Suite 303
Binghamton, NY 13903-1651
Phone (607) 798-5953
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118213 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Twin Tier Pathology Associates, PC | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
65 Pennsylvania Ave
Ste 303
Binghamton, NY 13903
Phone (607) 798-5953
65 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 723-5393
169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701
500 5th Ave
Owego, NY 13827
Phone (607) 687-1122
Interoperability endpoints
- kdesai225506@direct-guthrie.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Family Medicine Physician
- Binghamton, NY
- NPI 1063557189
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
-
- Clinical Pathology/Laboratory Medicine Physician
- Binghamton, NY
- NPI 1770577470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1669580361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PENNSYLVANIA AVE",
"address_2": "ORTHOPEDIC ASSOCIATES",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13903",
"telephone_number": "607-723-5393",
"fax_number": "607-771-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PENNSYLVANIA AVE",
"address_2": "ORTHOPEDIC ASSOCIATES",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13903",
"telephone_number": "607-723-5393",
"fax_number": "607-771-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "KAMLESH",
"middle_name": "SHIVLAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "118213",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NY",
"license": "118213",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00487449",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.