NPIMap

Individual provider Active NPI

Samir Desai, MD

  • Infectious Disease Physician
  • Shawnee, KS
National Provider Identifier
1952417644
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
04249382 Issued in KS
Practice address
7255 Renner Rd
Shawnee, KS 66217-3043
Phone
(913) 631-0405
Fax
(913) 631-0409
NPI assigned
Aug 22, 2006
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 04249382 KS Primary

Addresses

Primary practice location

7255 Renner Rd
Shawnee, KS 66217-3043

Mailing address

7255 Renner Rd
Shawnee, KS 66217-3043
Phone (913) 631-0405

Other identifiers 1

IdentifierTypeStateIssuer
100158200CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20041007000433 KS Practitioner - Infectious DiseasePractitioner - Internal Medicine 1153394481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
KC Infectious Disease Consultants, LLCGroup PAC ID 1658697610, 4 clinicians

Practice addresses (Care Compare)

7255 Renner Rd
Suite 100
Shawnee, KS 66217-3101
Phone (913) 631-0405

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.95 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
56.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04249382KSMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Podiatrists, P.a. PastSince Feb 1, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 7

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1952417644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662173043",
            "telephone_number": "913-631-0405",
            "fax_number": "913-631-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662173043",
            "telephone_number": "913-631-0405",
            "fax_number": "913-631-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SAMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "04249382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100158200C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.