Individual provider Active NPI

Mahasen T. Desilva, MD

  • Psychiatry Physician
  • Topeka, KS
National Provider Identifier
1801847439
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0416655 Issued in KS
Practice address
835 SW Western Ave
Topeka, KS 66606-1446
Phone
(785) 270-4600
Fax
(785) 270-4601
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0416655 KS Primary

Addresses

Primary practice location

835 SW Western Ave
Topeka, KS 66606-1446

Mailing address

3707 SW 6TH Ave
Topeka, KS 66606-2084
Phone (785) 270-4600

Other practice location 1

3707 SE 6th Avenue
Topeka, KS 66606
Phone (785) 270-4630

Other identifiers 1

IdentifierTypeStateIssuer
100119740BMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdesilva3279@stormontvaildirect.org Direct COTTON-O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address mdesilva3279@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0416655KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust Single Specialty Current Accepting new patients
Kanza Mental Health and Guidance Center, Inc. Single Specialty Past Accepting new patients
Mind-Body Health Professionals, P.a. Single Specialty Past Accepting new patients
Mahasen T Desilva Single Specialty PastSince Oct 1, 2006 Accepting new patients
Astra Mental Health and Recovery, Inc. Single Specialty Past Accepting new patients

Locations

901 SW Garfield Ave
Topeka, KS 66606

3707 SW 6th Ave
Topeka, KS 66606
Phone (785) 270-4630

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

Interoperability endpoints

  • Direct secure messaging: mdesilva3279@stormontvaildirect.org

Organizations & group practices 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1801847439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062084",
            "telephone_number": "785-270-4600",
            "fax_number": "785-270-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SW WESTERN AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061446",
            "telephone_number": "785-270-4600",
            "fax_number": "785-270-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 SE 6th Avenue",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "66606",
            "country_code": "US",
            "telephone_number": "785-270-4630",
            "fax_number": "785-270-4628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESILVA",
        "first_name": "MAHASEN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0416655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119740B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdesilva3279@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON-O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3707 SE 6th Avenue",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdesilva3279@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3707 SE 6th Avenue",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.