Active NPI
Chandrakant C Desai, MD
- Neurology Physician
- Bloomfield Hills, MI
National Provider Identifier
1699726919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301041537
- Practice address
- 43902 Woodward Ave Ste 100
Bloomfield Hills, MI 48302-5021 - Phone
- (248) 955-9949
- Fax
- (489) 282-2742
- NPI assigned
- May 12, 2006
- Last updated
- Jul 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301041537 | MI | Primary |
Addresses
Primary practice location
43902 Woodward Ave Ste 100
Bloomfield Hills, MI 48302-5021
Mailing address
43902 Woodward Ave Ste 100
Bloomfield Hills, MI 48302-5021
Phone (248) 955-9949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104142837 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080916000293 | MI | Practitioner - Neurology | 8921175076 | Practice locations: Bloomfield Hills, MI; Detroit, MI; Southfield, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
43902 Woodward Ave
Suite 100
Bloomfield Hills, MI 48302-5021
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041537 | MI | MD | Neurology Physician |
Interoperability endpoints
- cdesai@direct.dmc.org
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1699726919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43902 WOODWARD AVE STE 100",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025021",
"telephone_number": "248-955-9949",
"fax_number": "248-928-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43902 WOODWARD AVE STE 100",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025021",
"telephone_number": "248-955-9949",
"fax_number": "489-282-2742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "CHANDRAKANT",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301041537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104142837",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.