NPIMap

Individual provider Active NPI

Ankur Desai, MD

  • Obstetrics & Gynecology Physician
  • Rome, NY
National Provider Identifier
1710080593
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
230215 Issued in NY
Practice address
107 East Chestnut St
Rome, NY 13440
Phone
(315) 334-9663
Fax
(315) 334-1194
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 230215 NY Primary

Addresses

Primary practice location

107 East Chestnut St
Rome, NY 13440

Mailing address

107 East Chestnut St
Rome, NY 13440
Phone (315) 334-9663

Other identifiers 1

IdentifierTypeStateIssuer
01665645MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140415000484 NY Practitioner - Obstetrics/Gynecology 6002048626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohawk Valley Womens Health Associates LLPGroup PAC ID 4587896105, 2 clinicians

Practice addresses (Care Compare)

107 E Chestnut St
Suite 101
Rome, NY 13440-2834
Phone (315) 334-9663

Hospital & facility affiliations

  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Wynn Hospital Hospital, Utica, NY, CCN 330044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
230215NYMDInternal Medicine Physician
202957NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohawk Valley Womens Health Associates LLP Obstetrics & Gynecology CurrentSince Aug 1, 1996 Accepting new patients
Radiation Oncology Services PC PastSince Aug 1, 1996 Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients

Locations

1 Paris Rd
New Hartford, NY 13413
Phone (315) 732-1981

107 E Chestnut St
Rome, NY 13440
Phone (315) 334-9663

107 E Chestnut St
Ste 101
Rome, NY 13440
Phone (315) 334-9663

107 E Chestnut St
Ste 102
Rome, NY 13440
Phone (315) 338-9200

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rome Memorial Hospital, Inc.Rome, NY, CCN 330215 Hospital Corporate Officer Jan 1, 2020
Rome Memorial Hospital, Inc.Rome, NY, CCN 33S215 Hospital Corporate Director Apr 28, 2009
Rome Memorial Hospital, Inc.Rome, NY, CCN 335563 Skilled nursing facility Corporate Director Apr 28, 2009

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1710080593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 EAST CHESTNUT ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-334-9663",
            "fax_number": "315-334-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EAST CHESTNUT ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-334-9663",
            "fax_number": "315-334-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ANKUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "230215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01665645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.