Active NPI
Bipin Manharlal Desai, M.D.
- Psychiatry Physician
- Marion, OH
National Provider Identifier
1720056484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35-058017
- Practice address
- 1125 Ellen Kay Dr
Suite D
Marion, OH 43302-6286 - Phone
- (740) 382-3874
- Fax
- (740) 382-2930
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35-058017 | OH | Primary |
Addresses
Primary practice location
1125 Ellen Kay Dr
Suite D
Marion, OH 43302-6286
Mailing address
1125 Ellen Kay Dr
Suite D
Marion, OH 43302-6286
Phone (740) 382-3874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260039551 | Other | MEDICARE RAILROAD | |
| 0736001 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-058017 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfully Psychiatry LLC | Psychiatry | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Marion Independent Physicians Association, LLC | Psychiatry | Past | Accepting new patients |
Locations
1125 Ellen Kay Dr
Ste D
Marion, OH 43302
Phone (614) 382-6900
10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300
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.
-
- Psychiatry Physician
- Montgomery, OH
- NPI 1881341543
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- Marion, OH
- NPI 1710925045
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1720056484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 ELLEN KAY DR",
"address_2": "SUITE D",
"city": "MARION",
"state": "OH",
"postal_code": "433026286",
"telephone_number": "740-382-3874",
"fax_number": "740-382-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 ELLEN KAY DR",
"address_2": "SUITE D",
"city": "MARION",
"state": "OH",
"postal_code": "433026286",
"telephone_number": "740-382-3874",
"fax_number": "740-382-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "BIPIN",
"middle_name": "MANHARLAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-058017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "260039551",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0736001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.