Active NPI
Sejal Shah Desai, PA
- Physician Assistant
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-01145
- Practice address
- 332 N Trade St
Ste 1100
Matthews, NC 28105-1728 - Phone
- (704) 512-6850
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-01145 | NC | Primary |
Addresses
Primary practice location
332 N Trade St
Ste 1100
Matthews, NC 28105-1728
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
10210 Couloak Dr
Ste E
Charlotte, NC 28216-7679
Phone (704) 801-2000
Other practice location 2
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
Other practice location 3
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269-2206
Phone (704) 863-9930
Other practice location 4
7810 Providence Rd
Ste 102
Charlotte, NC 28226-2954
Phone (704) 543-6636
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdesai412170@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373
5801 Executive Ctr Dr
Charlotte, NC 28212-8861
Phone (704) 863-3700
613 E Roosevelt Blvd
Monroe, NC 28112-5124
Phone (704) 283-8193
7810 Providence Rd
Charlotte, NC 28226-2954
Phone (704) 543-6636
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-01145 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Summit Medical Group PA | Past | Accepting new patients | |
| Hospitalists Emo, LLC | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269
Phone (704) 863-9930
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
7810 Providence Rd
Ste 102
Charlotte, NC 28226
Phone (704) 393-4808
5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150
10210 Couloak Dr
Ste E
Charlotte, NC 28216
Phone (704) 801-2000
332 N Trade St
Ste 1100
Matthews, NC 28105
Phone (704) 512-6850
Interoperability endpoints
- sdesai412170@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
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.
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Atrium Health Urgent Care Arboretum
- Family Medicine Physician
- Charlotte, NC
- NPI 1457380313
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Pulmonology
- Critical Care Medicine (Internal Medicine) Physician
- Monroe, NC
- NPI 1821345919
-
dba Inpatient Medical Associates of New Jersey
- Hospitalist Physician
- Livingston, NJ
- NPI 1275575623
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1679667125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 N TRADE ST",
"address_2": "STE 1100",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051728",
"telephone_number": "704-512-6850"
}
],
"practiceLocations": [
{
"address_1": "10210 Couloak Dr",
"address_2": "Ste E",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282167679",
"country_code": "US",
"telephone_number": "704-801-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5717 Albemarle Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282121634",
"country_code": "US",
"telephone_number": "704-563-2150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5727 Prosperity Crossing Dr",
"address_2": "Ste 1100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692206",
"country_code": "US",
"telephone_number": "704-863-9930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7810 Providence Rd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262954",
"country_code": "US",
"telephone_number": "704-543-6636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESAI",
"first_name": "SEJAL",
"middle_name": "SHAH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-01145",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdesai412170@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "332 N Trade St",
"address_2": "Ste 1100",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281051728",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.