Active NPI
Viren D. Desai, M.D
- Interventional Pain Medicine Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME69424
- Practice address
- 1345 NE 4TH Ave
Fort Lauderdale, FL 33304-1031 - Phone
- (954) 458-1199
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 20010673 | NC | |
| Interventional Pain Medicine Physician | 208VP0014X | ME69424 | FL | Primary |
Addresses
Primary practice location
1345 NE 4TH Ave
Fort Lauderdale, FL 33304-1031
Mailing address
1345 NE 4TH Ave
Fort Lauderdale, FL 33304-1031
Phone (954) 458-1199
Other practice location 1
3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864
Phone (919) 787-7246
Other practice location 2
115 Kildaire Park Dr Ste 205
Cary, NC 27518-8144
Phone (919) 787-7246
Other practice location 3
510 Timber Dr E Ste 105
Garner, NC 27529-4689
Phone (919) 787-7246
Other practice location 4
10880 Durant Rd Ste 324
Raleigh, NC 27614-6629
Phone (919) 787-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89014Y4 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Pain Management
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1500 N University Dr
Suite 101
Coral Springs, FL 33071-6071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20010673 | NC | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Group LLC | Current | Accepting new patients | |
| One Stop Rehab LLC | Past | Accepting new patients | |
| General Anesthesia Services Inc | Past | Accepting new patients | |
| Atlantic Radiology Associates PA | Past | Accepting new patients | |
| Cumberland Anesthesia Associates P a | Pain Medicine | Past | Accepting new patients |
Locations
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352
120 Charles Rollins Rd
Ste 206
Henderson, NC 27536
Phone (252) 433-0430
Interoperability endpoints
- viren.desai@mpl-fl.direct.office.nextgen.com
- viren-desai@ipcfayetteville.e-mdsdirect.com
- viren.desai.p1@direct.advancedreliefmso.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Cary, NC
- NPI 1568696748
-
- Diagnostic Radiology Physician
- Goldsboro, NC
- NPI 1184656936
-
- Anesthesiology Physician
- Fayetteville, NC
- NPI 1942301494
Pain Medicine
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1811997869
-
- Physical Therapist
- Fayetteville, NC
- NPI 1932930856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1942367156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 NE 4TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041031",
"telephone_number": "954-458-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 NE 4TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041031",
"telephone_number": "954-458-1199"
}
],
"practiceLocations": [
{
"address_1": "3801 Wake Forest Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276096864",
"country_code": "US",
"telephone_number": "919-787-7246",
"fax_number": "919-787-7247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Kildaire Park Dr Ste 205",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275188144",
"country_code": "US",
"telephone_number": "919-787-7246",
"fax_number": "919-787-7247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Timber Dr E Ste 105",
"address_purpose": "LOCATION",
"city": "Garner",
"state": "NC",
"postal_code": "275294689",
"country_code": "US",
"telephone_number": "919-787-7246",
"fax_number": "919-787-7247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10880 Durant Rd Ste 324",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276146629",
"country_code": "US",
"telephone_number": "919-787-7246",
"fax_number": "919-787-7247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESAI",
"first_name": "VIREN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NC",
"license": "20010673",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME69424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014Y4",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.