Individual provider Active NPI

Khushbu Dushyant Desai, M.D.

  • Hospitalist Physician
  • Wilkes Barre, PA
National Provider Identifier
1972942779
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD459060 Issued in PA
Practice address
575 N River St
Fourth Floor
Wilkes Barre, PA 18764-0999
Phone
(570) 552-4450
Fax
(570) 552-4455
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT 204741 PA
Hospitalist Physician 208M00000X MD459060 PA Primary

Addresses

Primary practice location

575 N River St
Fourth Floor
Wilkes Barre, PA 18764-0999

Mailing address

PO Box 1473
Kingston, PA 18704-0473
Phone (570) 208-5534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160928002164 PA Practitioner - Family Practice 7416189097 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Inpatient Medicine PCGroup PAC ID 6406995778, 25 clinicians
Advanced Inpatient Medicine Lehigh PCGroup PAC ID 7416269741, 20 clinicians
Pennsylvania Hospitalist Group, LLCGroup PAC ID 3870035611, 56 clinicians

Practice addresses (Care Compare)

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8100

700 E Broad St
Hazelton, PA 18201-6835
Phone (570) 501-4000

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 348-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT 204741PAMDFamily Medicine Physician
MD459060PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine Lehigh PC Hospitalist CurrentSince Oct 20, 2025 Accepting new patients
Advanced Inpatient Medicine Associates PC Hospitalist CurrentSince Aug 29, 2016 Accepting new patients
Advanced Inpatient Medicine PC Hospitalist CurrentSince Aug 1, 2025 Accepting new patients
Pennsylvania Hospitalist Group, LLC Hospitalist CurrentSince May 1, 2024 Accepting new patients
Wayne Memorial Hospital Past Accepting new patients
Wilkes Barre Hospital Company LLC Past Accepting new patients

Locations

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Fl Fourth
Wilkes Barre, PA 18764
Phone (570) 552-4450

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1972942779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1473",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040473",
            "telephone_number": "570-208-5534",
            "fax_number": "570-208-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "address_2": "FOURTH FLOOR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640999",
            "telephone_number": "570-552-4450",
            "fax_number": "570-552-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KHUSHBU",
        "middle_name": "DUSHYANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT 204741",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD459060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.