Premlata Desai, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

39080 Issued in MA

Practice address

100 River Ridge Dr
Norwood, MA 02062-5030

Phone

(781) 255-0555

Fax

(781) 255-0594

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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.

• Boston Clinical Laboratory

  • Specialist
  • Norwood, MA
  • NPI 1922076447
  NPD (past)
• Promed Associates

  • Specialist
  • Norwood, MA
  • NPI 1790907335
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831168988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER RIDGE DR",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625030",
            "telephone_number": "781-255-0555",
            "fax_number": "781-255-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER RIDGE DR",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625030",
            "telephone_number": "781-255-0555",
            "fax_number": "781-255-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "PREMLATA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "39080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051757",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadine Denis
• Indera Depina
• Shelby Derissaint, LCSW
• Dermatology Associates PC
• Chirag Desai
• Alissa Kathleen Desantis, MSN, RN
• Tahina Desinord
• Olivia Deslauriers
• Devin Electrolysis
• Louise A. Devin, R.E.

• Specialist in Norwood, MA
• Providers in Norwood, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.