Individual provider Active NPI

Narendra G Desai, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1780687715
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101025154 Issued in VA
Practice address
10721 Main St Ste 2450
Fairfax, VA 22030-6911
Phone
(571) 723-3366
Fax
(703) 890-3092
NPI assigned
May 23, 2005
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101025154 VA
Internal Medicine Physician 207R00000X 0101025154 VA Primary

Addresses

Primary practice location

10721 Main St Ste 2450
Fairfax, VA 22030-6911

Mailing address

10721 Main St Ste 2450
Fairfax, VA 22030-6911
Phone (571) 723-3366

Other identifiers 4

IdentifierTypeStateIssuer
4087616OtherVAAETNA
2156OtherVAGROUP ID FOR B/C B/S
088861OtherVAANTHEM
MAMSIOtherVA246818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101227000758 DC Practitioner - Internal Medicine 8325172596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10875 Main St
Suite 208
Fairfax, VA 22030-4732
Phone (703) 940-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101025154VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Primary Care, LLC Internal Medicine CurrentSince Aug 9, 2013 Accepting new patients
Beauregard Medical Center, LTD Internal Medicine CurrentSince Feb 1, 1994 Accepting new patients
Commonwealth Sleep Center, LLC PastSince Jun 1, 2008 Accepting new patients

Locations

3450 N Beauregard St
Ste 1
Alexandria, VA 22302
Phone (703) 820-7000

3450 N Beauregard St
Ste 3
Alexandria, VA 22302
Phone (703) 931-0123

10721 Main St
Ste 2450
Fairfax, VA 22030
Phone (703) 425-3338

10875 Main St
Ste 208
Fairfax, VA 22030
Phone (703) 591-5443

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCEFCA/Endpoint/GCEFCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGGBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1780687715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 2450",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306911",
            "telephone_number": "571-723-3366",
            "fax_number": "703-890-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 2450",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306911",
            "telephone_number": "571-723-3366",
            "fax_number": "703-890-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NARENDRA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101025154",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101025154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4087616",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID FOR B/C B/S",
            "identifier": "2156",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "088861",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "246818",
            "identifier": "MAMSI",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.