NPIMap

Individual provider Active NPI

Emmanuel F Desai, M.D.

  • Internal Medicine Physician
  • Lewisville, TX
National Provider Identifier
1841234655
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E9603 Issued in TX
Practice address
125 N Cowan Street
Suite 102
Lewisville, TX 75057-3737
Phone
(972) 221-0600
Fax
(972) 221-8265
NPI assigned
Jun 15, 2006
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E9603 TX Primary

Addresses

Primary practice location

125 N Cowan Street
Suite 102
Lewisville, TX 75057-3737

Mailing address

125 N Cowan Street
Suite 102
Lewisville, TX 75057-3737
Phone (972) 221-0600

Other identifiers 1

IdentifierTypeStateIssuer
145407601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214001141 TX Practitioner - Internal Medicine 6305981028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

125 N Cowan Ave
Suite 102
Lewisville, TX 75057-3774
Phone (972) 221-0600

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel F.Desai.M.D.,P.a. Internal Medicine CurrentSince Aug 25, 1986 Accepting new patients

Locations

125 N Cowan Ave
Ste 102
Lewisville, TX 75057
Phone (972) 221-0600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1841234655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N COWAN STREET",
            "address_2": "SUITE 102",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573737",
            "telephone_number": "972-221-0600",
            "fax_number": "972-221-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N COWAN STREET",
            "address_2": "SUITE 102",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573737",
            "telephone_number": "972-221-0600",
            "fax_number": "972-221-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "EMMANUEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E9603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145407601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.