Individual provider Active NPI

Kedar Krishna Deshpande, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Marysville, OH
National Provider Identifier
1801891007
Registry record updated Jan 9, 2017
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35-08-0539-D Issued in OH
Practice address
453 Allenby Dr
Marysville, OH 43040-8722
Phone
(937) 738-2732
Fax
(937) 738-2514
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35-08-0539-D OH Primary

Addresses

Primary practice location

453 Allenby Dr
Marysville, OH 43040-8722

Mailing address

453 Allenby Dr
Marysville, OH 43040-8722
Phone (937) 738-2732

Other identifiers 1

IdentifierTypeStateIssuer
2466273MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028376NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Orthopaedic Spine & Joint Center Past Accepting new patients
Orthopaedic & Spine Center LLC Past Accepting new patients
Orthopaedic and Spine Center Past Accepting new patients
Orthopaedic & Spine Center at Polaris, LLC Past Accepting new patients

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1801891007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 ALLENBY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408722",
            "telephone_number": "937-738-2732",
            "fax_number": "937-738-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 ALLENBY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408722",
            "telephone_number": "937-738-2732",
            "fax_number": "937-738-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "KEDAR",
        "middle_name": "KRISHNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35-08-0539-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2466273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.