NPIMap

Individual provider Active NPI

Shraddha Desai, M.D.

  • Pulmonary Disease Physician
  • Surprise, AZ
National Provider Identifier
1861842148
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
68177 Issued in AZ
Practice address
14961 W Bell Rd Ste 175
Surprise, AZ 85374-3220
Phone
(623) 242-9830
Fax
(623) 249-5181
NPI assigned
Jun 16, 2016
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 68177 AZ Primary

Addresses

Primary practice location

14961 W Bell Rd Ste 175
Surprise, AZ 85374-3220

Mailing address

311 Stevens Dr Apt 104
Ypsilanti, MI 48197-4535
Phone (443) 872-9184

Other practice location 1

13657 W McDowell Rd Ste 210
Goodyear, AZ 85395-2603
Phone (623) 242-9830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802000671 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1052744976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Lung Sleep and Valley Fever Institute IncGroup PAC ID 7618076100, 4 clinicians

Practice addresses (Care Compare)

13657 W McDowell Rd
Suite 210
Goodyear, AZ 85395-2603
Phone (623) 243-6538

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Lung Sleep and Valley Fever Institute Inc Critical Care Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13818 N Thunderbird Blvd
Sun City, AZ 85351
Phone (480) 985-6992

14961 W Bell Rd
Ste 175
Surprise, AZ 85374
Phone (623) 242-9830

Interoperability endpoints

  • Direct secure messaging: sdesai654227@direct.hfhs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1861842148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 STEVENS DR APT 104",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974535",
            "telephone_number": "443-872-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD STE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743220",
            "telephone_number": "623-242-9830",
            "fax_number": "623-249-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13657 W McDowell Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952603",
            "country_code": "US",
            "telephone_number": "623-242-9830",
            "fax_number": "623-249-5181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHRADDHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "68177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.