Kishor K Desai, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35047621 Issued in OH

Practice address

1160 Deer Run Rd
Mansfield, OH 44906-3412

Phone

(419) 756-1411

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kishor K Desai MD Inc

  • Diagnostic Radiology Physician
  • Mansfield, OH
  • NPI 1295975431
  NPD (past) Authorized official
• Express Imaging

  • Diagnostic Radiology Physician
  • Mansfield, OH
  • NPI 1275647968
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Radiology Associates of Mansfield, Inc

  • Diagnostic Radiology Physician
  • Mansfield, OH
  • NPI 1770697450
  NPD (past)
• X-Ray, Inc.

  • Vascular & Interventional Radiology Physician
  • Lima, OH
  • NPI 1417970542

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1801949193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 DEER RUN RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063412",
            "telephone_number": "419-756-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 DEER RUN RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063412",
            "telephone_number": "419-756-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KISHOR",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35047621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0597724",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Mary Denton, M.T.
• Robert A Denton, M.D.
• Dermatology Associates of Mansfield, Inc
• Mary C Derr, RN
• Heaven-Leigh Dery
• Vasanti K Desai, MD
• Deseret Nursing and Rehabilitation at Mansfield
• Alexis Ivanna Desich
• Tanyn L Deskins
• Daniel Earl Detrich, M.D.

• Diagnostic Radiology Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.