Active NPI
Haresh I. Desai, M.D.
- Allergy & Immunology Physician
- Clarion, PA
National Provider Identifier
1992770259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD056503L
- Practice address
- 1008 S 5TH Ave
Ste 201
Clarion, PA 16214-8676 - Phone
- (814) 226-1599
- Fax
- (814) 226-1583
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD056503L | PA | Primary |
| Pediatrics Physician | 208000000X | MD056503L | PA |
Addresses
Primary practice location
1008 S 5TH Ave
Ste 201
Clarion, PA 16214-8676
Mailing address
1008 S 5TH Ave
Ste 201
Clarion, PA 16214-8676
Phone (814) 226-1599
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015572840007 | Medicaid | PA | |
| 1507400 | Other | GATEWAY | |
| 85840 | Other | PA | UNISON MED PLUS |
| 212525 | Other | UPMC | |
| 987273 | Other | PA | HIGHMARK |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD056503L | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1992770259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 S 5TH AVE",
"address_2": "STE 201",
"city": "CLARION",
"state": "PA",
"postal_code": "162148676",
"telephone_number": "814-226-1599",
"fax_number": "814-226-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 S 5TH AVE",
"address_2": "STE 201",
"city": "CLARION",
"state": "PA",
"postal_code": "162148676",
"telephone_number": "814-226-1599",
"fax_number": "814-226-1583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "HARESH",
"middle_name": "I.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD056503L",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD056503L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015572840007",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1507400",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON MED PLUS",
"identifier": "85840",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "212525",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "987273",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.