Ketan Desai, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

105102 Issued in GA

Practice address

209 N Cuthbert St
Colquitt, GA 39837-3518

Phone

(229) 281-6096

Fax

(229) 281-6097

NPI assigned

May 21, 2009

Last updated

Jul 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, TX, GA3 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 3

Specialty

Allergy/Immunology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Hospital Authority of Miller CountyGroup PAC ID 0244224947, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miller County Hospital Hospital, Colquitt, GA, CCN 111305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76651

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.

• The Hospital Authority of Miller County

  • Critical Access Hospital
  • Colquitt, GA
  • NPI 1710105119
  Medicare reassignment Care Compare group NPD
• Lisa Pathak MD LLC

  dba Dingmans Medical

  • Primary Care Clinic/Center
  • Dingmans Ferry, PA
  • NPI 1841431418
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment NPD
• Specialty Physician Associates, LLC

  dba Spa

  • Otolaryngology Physician
  • Bethlehem, PA
  • NPI 1487960639
  Medicare reassignment NPD
• The Hospital Authority of Miller County

  • Medicare Defined Swing Bed Hospital Unit
  • Colquitt, GA
  • NPI 1285794750
  NPD
• The Hospital Authority of Miller County

  dba Miller County Hospital Pharmacy

  • Institutional Pharmacy
  • Colquitt, GA
  • NPI 1396045431
  NPD
• The Hospital Authority of Miller County

  dba Calhoun Nursin Home

  • Skilled Nursing Facility
  • Edison, GA
  • NPI 1649353111
  NPD
• The Hospital Authority of Miller County

  dba Miller Nursing Home

  • Skilled Nursing Facility
  • Colquitt, GA
  • NPI 1760540850
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Einstein Practice Plan Inc

  dba Einstein Internal Medicine Associates

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1801853288
  NPD (past)
• Lehigh Valley Hospital Pocono

  dba Health Spectrum Pharmacy Services Pocono

  • Community/Retail Pharmacy
  • East Stroudsburg, PA
  • NPI 1447772868
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Hospital Authority of Miller County

  dba Miller County Hospital

  • Critical Access Hospital
  • Colquitt, GA
  • NPI 1114085297
  Care Compare affiliation

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1689809535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373518",
            "telephone_number": "229-281-6096",
            "fax_number": "229-281-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373518",
            "telephone_number": "229-281-6096",
            "fax_number": "229-281-6097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 N Cuthbert St",
            "address_purpose": "LOCATION",
            "city": "Colquitt",
            "state": "GA",
            "postal_code": "398373517",
            "country_code": "US",
            "telephone_number": "229-758-3304",
            "fax_number": "229-758-6622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Cuthbert St",
            "address_2": "209 N CUTHBERT ST",
            "address_purpose": "LOCATION",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "39837",
            "country_code": "US",
            "telephone_number": "229-281-6096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KETAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "105102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "105102",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ketandesai@hmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "The Hospital Authority of Miller County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "209 N Cuthbert St",
            "city": "Colquitt",
            "state": "GA",
            "country_code": "US",
            "postal_code": "398373518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mac Bradley Davis, CRNA
• Dr and Associates Rehabilitation, LLC
• Charles J Fetner, CRNA
• Brandy Smith Floyd, PA
• Four C, LLC (Grow Drug Co)
• Ivanshi A Gondalia, MD

• Allergy & Immunology Physician in Colquitt, GA
• Providers in Colquitt, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.

Verify at the official NPI Registry.