Individual provider Active NPI

Sanjiv Kishor Desai, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1861492100
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 87754 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025001169 FL Practitioner - Family Practice 8527029255 Reassigns benefits to 3 organizations

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
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

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

LicenseStateTypeSpecialty
ME 87754FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Center Hospitalist Group, LLC CurrentSince Feb 2, 2021 Accepting new patients
Health Holdings Company LLC CurrentSince Feb 1, 2021 Accepting new patients
Palm Medical Center Lakeland LLC CurrentSince Feb 1, 2021 Accepting new patients
Palm Medical Centers CurrentSince Feb 1, 2021 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.

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

Verify at the official NPI Registry.