Individual provider Active NPI

Kinnari P Desai, MD

  • Gynecology Physician
  • Bradenton, FL
National Provider Identifier
1790717304
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME107712 Issued in FL
Practice address
2310 60TH Street CT W
Bradenton, FL 34209-6609
Phone
(941) 792-4993
Fax
(941) 795-2905
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME107712 FL Primary

Addresses

Primary practice location

2310 60TH Street CT W
Bradenton, FL 34209-6609

Mailing address

2310 60TH Street CT W
Bradenton, FL 34209-6609
Phone (941) 792-4993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110726000311 FL Practitioner - Obstetrics/Gynecology 1153324140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Gynecology LLCGroup PAC ID 5496019119, 8 clinicians

Practice addresses (Care Compare)

2310 60TH St CT W
Bradenton, FL 34209-6609
Phone (941) 792-4993

60 TH St CT W
Bradenton, FL 34209-6609

Hospital & facility affiliations

  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107712FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Gynecology LLC Gynecology CurrentSince Feb 19, 2018 Accepting new patients
MCR Health, Inc. CurrentSince Jun 24, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Jun 24, 2025 Accepting new patients

Locations

2310 60th Street Ct W
Bradenton, FL 34209
Phone (941) 792-4993

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBCBD
  • Direct secure messaging: kinnari.desai.2@11352.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1790717304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 60TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096609",
            "telephone_number": "941-792-4993",
            "fax_number": "941-795-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 60TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096609",
            "telephone_number": "941-792-4993",
            "fax_number": "941-795-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KINNARI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME107712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.