Active NPI
Ruchi Pratik Desai, PA-C
- Physician Assistant
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0008091
- Practice address
- 2017 Giovanni CT
Cary, NC 27518-7106 - Phone
- (919) 815-8998
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-007944 | VA | |
| Physician Assistant | 363A00000X | C0008091 | MD | Primary |
Addresses
Primary practice location
2017 Giovanni CT
Cary, NC 27518-7106
Mailing address
2017 Giovanni CT
Cary, NC 27518-7106
Phone (919) 815-8998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
13950 Brandywine Rd
Brandywine, MD 20613-5815
Phone (301) 782-2220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0008091 | MD | MD | Physician Assistant |
| 0110-007944 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3007 Tilden St NW
Ste 5N
Washington, DC 20008
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
13950 Brandywine Rd
Ste 100
Brandywine, MD 20613
Phone (301) 782-2220
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1740959618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 GIOVANNI CT",
"city": "CARY",
"state": "NC",
"postal_code": "275187106",
"telephone_number": "919-815-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 GIOVANNI CT",
"city": "CARY",
"state": "NC",
"postal_code": "275187106",
"telephone_number": "919-815-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "RUCHI",
"middle_name": "PRATIK",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-007944",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0008091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.