Active NPI
Sanjiv Kishor Desai, MD
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 87754
- Practice address
- 116 W Bougainvillea Ave
Tampa, FL 33612-7437 - Phone
- (813) 932-4381
- Fax
- (813) 933-6875
- NPI assigned
- Jul 28, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 87754 | FL | Primary |
Addresses
Primary practice location
116 W Bougainvillea Ave
Tampa, FL 33612-7437
Mailing address
116 W Bougainvillea Ave
Tampa, FL 33612-7437
Phone (813) 932-4381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 W Bougainvillea Ave
Tampa, FL 33612-7437
Phone (813) 932-4381
1509 W Reynolds St
Palm Medical Center Lakeland LLC
Plant City, FL 33563-4733
Phone (813) 704-6905
2416 Land O Lakes Blvd
Land O Lakes, FL 34639-4907
Phone (813) 235-6200
2525 E Hillsborough Ave
Suite 201
Tampa, FL 33610-4449
Phone (813) 238-4499
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 87754 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Medical Center Hospitalist Group, LLC | Current | Accepting new patients | |
| Health Holdings Company LLC | Current | Accepting new patients | |
| Palm Medical Center Lakeland LLC | Current | Accepting new patients | |
| Palm Medical Centers | Current | Accepting new patients |
Locations
2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590
37235 Medical Dr
Dade City, FL 33525
Phone (352) 496-5823
127 Ridge Center Dr
Davenport, FL 33837
Phone (863) 421-7400
6849 Taft St
Hollywood, FL 33024
Phone (954) 266-2920
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728
2416 Land O Lakes Blvd
Land O Lakes, FL 34639
Phone (813) 235-6200
2416 Land O Lakes Blvd
Ste A
Land O Lakes, FL 34639
Phone (813) 235-6200
1509 W Reynolds St
Plant City, FL 33563
Phone (813) 704-6905
11017 N Dale Mabry Hwy
Ste B
Tampa, FL 33618
Phone (813) 337-7402
116 W Bougainvillea Ave
Tampa, FL 33612
Phone (813) 932-4291
2525 E Hillsborough Ave
Ste 201
Tampa, FL 33610
Phone (813) 238-4499
613 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603
Phone (813) 237-1958
613 W Dr Martin Luther King Jr Blvd
Ste 101
Tampa, FL 33603
Phone (813) 237-1958
6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
-
- Hospitalist Physician
- Coral Gables, FL
- NPI 1174017362
-
- Clinic/Center
- Lakeland, FL
- NPI 1437650579
-
- Clinic/Center
- Dade City, FL
- NPI 1952039562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861492100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 W BOUGAINVILLEA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127437",
"telephone_number": "813-932-4381",
"fax_number": "813-933-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W BOUGAINVILLEA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127437",
"telephone_number": "813-932-4381",
"fax_number": "813-933-6875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "SANJIV",
"middle_name": "KISHOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 87754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.