NPIMap

Individual provider Active NPI

Balaji Desai, M.D

  • Internal Medicine Physician
  • Danville, VA
National Provider Identifier
1932385028
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101249951 Issued in VA
Practice address
159 Executive Dr Ste K
Danville, VA 24541-4160
Phone
(434) 791-2751
NPI assigned
Jan 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD187963 PA
Infectious Disease Physician 207RI0200X 0101239951 VA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0101249951 VA Primary

Addresses

Primary practice location

159 Executive Dr Ste K
Danville, VA 24541-4160

Mailing address

8320 Pearson Farm CT
Browns Summit, NC 27214-9834
Phone (412) 344-5619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20111027000483 VA Practitioner - Internal Medicine 7315110970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians

Practice addresses (Care Compare)

125 Executive Dr
Danville, VA 24541-4155

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-3866

188 S Main St
Danville, VA 24541-2922
Phone (434) 799-4592

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101249951VAMDInternal Medicine Physician
0101239951VAMDInfectious Disease Physician
MD187963PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Physician Practices LLC Multi-Specialty CurrentSince Sep 5, 2011 Accepting new patients
Danville Physician Practices LLC Multi-Specialty CurrentSince Sep 5, 2011 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients

Locations

159 Executive Dr
Ste K
Danville, VA 24541
Phone (434) 791-1088

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

125 Executive Dr
Ste H
Danville, VA 24541
Phone (434) 791-1345

125 Executive Dr
Ste J
Danville, VA 24541
Phone (434) 793-0044

Interoperability endpoints

  • Direct secure messaging: balaji.desai.1@19847.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 3

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 6

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1932385028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 PEARSON FARM CT",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149834",
            "telephone_number": "412-344-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 EXECUTIVE DR STE K",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414160",
            "telephone_number": "434-791-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "BALAJI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MD187963",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101239951",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101249951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.