Individual provider Active NPI

Viren D. Desai, M.D

  • Interventional Pain Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1942367156
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME69424 Issued in FL
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

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89014Y4MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050205000029 NC Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4880506583 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
20010673NCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Group LLC CurrentSince Dec 1, 2023 Accepting new patients
One Stop Rehab LLC PastSince Aug 18, 2024 Accepting new patients
General Anesthesia Services Inc Past Accepting new patients
Atlantic Radiology Associates PA PastSince Jun 1, 2023 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

  • Direct secure messaging: viren.desai@mpl-fl.direct.office.nextgen.com
  • Direct secure messaging: viren-desai@ipcfayetteville.e-mdsdirect.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.