Individual provider Active NPI

Bipin Manharlal Desai, M.D.

  • Psychiatry Physician
  • Marion, OH
National Provider Identifier
1720056484
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-058017 Issued in OH
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

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
260039551OtherMEDICARE RAILROAD
0736001MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081006000721 OH Practitioner - Psychiatry 4486722246 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-058017OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully Psychiatry LLC Psychiatry CurrentSince Jun 30, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Marion Independent Physicians Association, LLC Psychiatry PastSince Jul 4, 2021 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.

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

Verify at the official NPI Registry.