Active NPI
Devi S Kadakia, PA-C
- Surgical Physician Assistant
- Dayton, OH
National Provider Identifier
1992092886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 50.005791RX
- Practice address
- 30 E Apple St Ste 5253
Dayton, OH 45409 - Phone
- (937) 208-5439
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 017237-1 | NY | |
| Surgical Physician Assistant | 363AS0400X | C0004467 | MD | |
| Surgical Physician Assistant | 363AS0400X | 50.005791RX | OH | Primary |
Addresses
Primary practice location
30 E Apple St Ste 5253
Dayton, OH 45409
Mailing address
30 E Apple St Ste 5253
Dayton, OH 45409-2939
Phone (937) 208-5439
Other practice location 1
177 Fort Washington Ave
Milstein Bldg
New York, NY 10032-3733
Phone (212) 305-2500
Other practice location 2
177 Fort Washington Ave
Milstein Bldg
New York, NY 10032-3733
Phone (212) 305-2500
Other names 1
- Ms. Devi V Desai
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017237-1 | NY | MD | Occupational Therapist |
| C0004467 | MD | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1992092886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E APPLE ST STE 5253",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST STE 5253",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409",
"telephone_number": "937-208-5439"
}
],
"practiceLocations": [
{
"address_1": "177 Fort Washington Ave",
"address_2": "Milstein Bldg",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323733",
"country_code": "US",
"telephone_number": "212-305-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "177 Fort Washington Ave",
"address_2": "Milstein Bldg",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323733",
"country_code": "US",
"telephone_number": "212-305-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KADAKIA",
"first_name": "DEVI",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "017237-1",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C0004467",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.005791RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEVI",
"last_name": "DESAI",
"middle_name": "V",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.