Swati Manoj Desai

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D43417 Issued in MD

Practice address

2480 Llewellyn Ave
Kimbrough Ambulatory Care Center
Ft Meade, MD 20755-5800

Phone

(301) 677-8897

Fax

(301) 677-8820

NPI assigned

Nov 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Swati Dinesh Desai Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1972584225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "address_2": "KIMBROUGH AMBULATORY CARE CENTER",
            "city": "FT MEADE",
            "state": "MD",
            "postal_code": "207555800",
            "telephone_number": "301-677-8897",
            "fax_number": "301-677-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "address_2": "KIMBROUGH AMBULATORY CARE CENTER",
            "city": "FT MEADE",
            "state": "MD",
            "postal_code": "207555800",
            "telephone_number": "301-677-8897",
            "fax_number": "301-677-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SWATI",
        "middle_name": "MANOJ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D43417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SWATI",
            "last_name": "DESAI",
            "middle_name": "DINESH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamatha Henderson Davis, LPN
• Sarah Deal, PSYD
• Kathleen Theresa Deck, PT
• Nancy Annette Demetrician, RN
• Susan A Demuth, M.D.
• Amanda Droutsas
• Vickie R Ellis, LCSW
• Epes Dental Clinic
• Kathy Ann Espitia
• Denise Evangelista

• Internal Medicine Physician in Ft Meade, MD
• Providers in Ft Meade, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.