Individual provider Active NPI

Medha Patel Desai

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1861010811
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9868 Issued in CT
Practice address
100 Pearl St FL 14
Hartford, CT 06103-4500
Phone
(888) 731-8994
NPI assigned
Jul 7, 2020
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9868 CT Primary
Registered Nurse 163W00000X 145723 CT

Addresses

Primary practice location

100 Pearl St FL 14
Hartford, CT 06103-4500

Mailing address

100 Pearl St FL 14
Hartford, CT 06103-4500

Other practice location 1

165 Broadway Fl 23
New York, NY 10006-1452
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106000442 CT Practitioner - Nurse Practitioner 8729479423 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
145723CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Oct 1, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 1, 2021 Accepting new patients
OBGYN Group of Eastern Connecticut, P.C. CurrentSince Dec 22, 2025 Accepting new patients
Hartford Hospital PastSince Sep 23, 2021 Accepting new patients

Locations

85 Seymour St
Ste 923
Hartford, CT 06106
Phone (860) 524-4550

2600 Tamarack Ave
#200
South Windsor, CT 06074
Phone (860) 646-1157

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296

1290 Silas Deane Hwy
Ste Hhc
Wethersfield, CT 06109

Interoperability endpoints

  • Direct secure messaging: medha.desai@335000925634564.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1861010811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEARL ST FL 14",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061034500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEARL ST FL 14",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061034500",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Broadway Fl 23",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100061452",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MEDHA",
        "middle_name": "PATEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9868",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "145723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.