Individual provider Active NPI

Deepak Sadanand Desai, M.D

  • Gastroenterology Physician
  • Northport, NY
National Provider Identifier
1952391997
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
235224 Issued in NY
Practice address
208 Woodbine Ave
Northport, NY 11768-2819
Phone
(631) 942-5370
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 235224 NY Primary

Addresses

Primary practice location

208 Woodbine Ave
Northport, NY 11768-2819

Mailing address

208 Woodbine Ave
Northport, NY 11768-2819
Phone (631) 942-5370

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Deepak.Desai@DIRECT.STONYBROOKMEDICINE.EDU University Hospital at Stony Brook

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060607000234 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 1355353467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy140
Upper gastrointestinal (GI) endoscopy for acid reflux202

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Dec 19, 2012 Accepting new patients
New York University CurrentSince Jan 1, 2025 Accepting new patients
New York University Gastroenterology CurrentSince Jan 1, 2025 Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

48 Route 25A
Ste 107
Smithtown, NY 11787
Phone (631) 862-3680

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: deepak.desai@direct.stonybrookmedicine.edu
  • Direct secure messaging: ddesai683121@nyumc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1952391997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WOODBINE AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682819",
            "telephone_number": "631-942-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WOODBINE AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682819",
            "telephone_number": "631-942-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "DEEPAK",
        "middle_name": "SADANAND",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "235224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Deepak.Desai@DIRECT.STONYBROOKMEDICINE.EDU",
            "affiliation": "Y",
            "affiliationName": "University Hospital at Stony Brook",
            "address_1": "101 Nicolls Road",
            "address_2": "Health Science Tower, Level 17 rm 060",
            "city": "Stony Brook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.