Shailesh Dhirubhai Desai, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31556 Issued in IA

Practice address

240 North Rerick Ave
Primghar, IA 51245

Phone

(712) 957-2310

Fax

(712) 957-0504

NPI assigned

Apr 11, 2006

Last updated

Oct 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baum Harmon Mercy Hospital

  dba MercyOne Primghar Family Medicine

  • Rural Health Clinic/Center
  • Primghar, IA
  • NPI 1306880570
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1760445423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511020324",
            "telephone_number": "712-279-5830",
            "fax_number": "712-279-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NORTH RERICK AVE",
            "city": "PRIMGHAR",
            "state": "IA",
            "postal_code": "51245",
            "telephone_number": "712-957-2310",
            "fax_number": "712-957-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHAILESH",
        "middle_name": "DHIRUBHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "31556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "22768",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2145151",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4145151",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IA",
            "identifier": "48073",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5145151",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145151",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baum Harmon Mercy Hospital (MercyOne Primghar Medical Center)
• Baum Harmon Mercy Hospital (MercyOne Primghar Medical Center-CVA)
• Julie M Beehler, ARNP
• County of Obrien
• Andrea D Crew, PA
• Heather Jo Einck, DC
• Embrace Therapy Services LLC
• Family First Dental Associates of Primghar, P.C. (Family 1st Dental of Primghar)
• Family First Dental of Primghar PC (Primghar Dental Clinic)
• Bridget Hartwig

• Family Medicine Physician in Primghar, IA
• Providers in Primghar, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.

Verify at the official NPI Registry.