Poonam Desai

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24829 Issued in MD

Practice address

8186 Lark Brown Rd Ste 302
Elkridge, MD 21075-6435

Phone

(410) 730-3399

NPI assigned

Jul 12, 2016

Last updated

May 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centennial Medical Group, PA

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1134235039
  Medicare reassignment Care Compare group NPD
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Clarksville, MD
  • NPI 1336918275
  NPD
• First Call Medical Center LLC

  dba First Call Urgent Care

  • Urgent Care Clinic/Center
  • Laurel, MD
  • NPI 1841680766
  NPD

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1689026734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 ILCHESTER RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8186 LARK BROWN RD STE 302",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756435",
            "telephone_number": "410-730-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "POONAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Lynn Defiglia, CRNP
• Melissa Victoria Deitzel, CRNP
• April Der, LCPC
• Kristopher Derbyshire, CRNP
• Amarja Desai
• Roma Desai, OD
• Maria Patricia Deza
• Aissatou H Diallo, LGPC
• Christi Ann Dieterich, NP
• Karolina Dimitrova

• Physical Therapist in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.