Tushar K Desai, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A31524 Issued in CA

Practice address

1 Keahole PL Apt 1202
Honolulu, HI 96825-3420

Phone

(818) 675-8531

NPI assigned

Feb 8, 2018

Last updated

Mar 7, 2023By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Medigence Health PC

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  NPD (past) Authorized official

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851890453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KEAHOLE PL APT 1202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253420",
            "telephone_number": "818-675-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KEAHOLE PL APT 1202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253420",
            "telephone_number": "818-675-8531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 S Virgil Ave Apt 310",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900201318",
            "country_code": "US",
            "telephone_number": "808-312-4836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "TUSHAR",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A31524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "H01527814",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kainani M Derrickson, LCSW
• Konane M Deryke, OTR
• Deryll U Ambrocio MD Incorporated
• David C. Des Jarlais, MD
• Deza-Rae Desa
• Gautam Anil Deshpande, M.D.
• Heidi Desimone, APRN
• Kaleigh Desimone, PSYD
• Desiree C. Cabinte, PH.D. LLC
• Kathy Desouza, LCSW, CSAC

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.