Individual provider Active NPI

Avinash M Desai, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Waterford, MI
National Provider Identifier
1861455172
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
4301038163 Issued in MI
Practice address
4000 Highland Rd
Ste 130
Waterford, MI 48328-2167
Phone
(248) 681-7909
Fax
(248) 681-5814
NPI assigned
Apr 8, 2006
Last updated
Aug 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 038163 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301038163 MI Primary

Addresses

Primary practice location

4000 Highland Rd
Ste 130
Waterford, MI 48328-2167

Mailing address

4000 Highland Rd
Ste 130
Waterford, MI 48328-2167
Phone (248) 681-7909

Other identifiers 3

IdentifierTypeStateIssuer
0631459OtherMIBS
2574403MedicaidMI
290002630OtherMIRR MC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000148 MI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 0446285688 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038163MIMDPulmonary Disease Physician
4301038163MIMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pankaj Hukku, MD PC Pulmonary Disease CurrentSince May 1, 2023 Accepting new patients
Pontiac General Hospital and Medical Centers Past Accepting new patients
University Physician Group Past Accepting new patients
Robert B Ferguson M.D. P.C. Past Accepting new patients

Locations

1380 Coolidge Hwy
Ste 110
Troy, MI 48084
Phone (248) 280-1867

Interoperability endpoints

  • Direct secure messaging: adesai@direct.dmc.org

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1861455172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "STE 130",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-681-7909",
            "fax_number": "248-681-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "STE 130",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-681-7909",
            "fax_number": "248-681-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "AVINASH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "038163",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301038163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "0631459",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2574403",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "290002630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.