Tejal Haresh Desai, AA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

003950 Issued in GA

Practice address

2171 West Park Court
Suite a
Stone Mountain, GA 30087-3555

Phone

(678) 514-2640

NPI assigned

Jan 5, 2007

Last updated

May 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Emory University School of Medicine, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

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.

• Mak Anesthesia Holdings LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1912452939
  Medicare reassignment Care Compare group NPD
• American Anesthesiology Associates of Georgia, LLC

  • Anesthesiology Physician
  • Stone Mountain, GA
  • NPI 1528068673
  Medicare reassignment NPD
• Dekalb Anesthesia Associates, P a

  • Anesthesiology Physician
  • Decatur, GA
  • NPI 1528004538
  NPD (past)
• Physician Specialists in Anesthesia, P.C.

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1316968662

  Anesthesiologist Assistant

  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209772800000",
    "number": "1912054206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 WEST PARK COURT",
            "address_2": "SUITE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873555",
            "telephone_number": "678-514-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 WEST PARK COURT",
            "address_2": "SUITE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873555",
            "telephone_number": "678-514-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "TEJAL",
        "middle_name": "HARESH",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "003950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00591324J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dekalbcommunityserviceboard
• Linda G Dennard, LCSW
• Dentures and Family Dentistry (Smiles At Stone Mountain Festival)
• Mira Desai, AGPCNP
• Rohit Manubhai Desai, MD
• Madison Rachelle Desch
• Developmental & Rehabilitative Service, Inc
• Developmental & Rehabilitative Service, Inc
• Developmental Enrichment Services, Inc.
• Dialysis Care, LLC (TLC Dialysis Care, LLC)

• Anesthesiologist Assistant in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Anesthesiologist Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.