Active NPI
Shekhar S Desai, MD
- Orthopaedic Surgery Physician
- Palm Bay, FL
National Provider Identifier
1992795009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME59178
- Practice address
- 5200 Babcock St NE
Suite 111
Palm Bay, FL 32905-4612 - Phone
- (321) 952-4445
- Fax
- (321) 952-3081
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME59178 | FL | Primary |
Addresses
Primary practice location
5200 Babcock St NE
Suite 111
Palm Bay, FL 32905-4612
Mailing address
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 952-4445
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200037431 | Other | FL | RR MEDICARE |
| 4339774 | Other | FL | AETNA |
| 053065400 | Medicaid | FL | |
| 4234237004 | Other | FL | CIGNA |
| 12128 | Other | FL | BCBS |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abilene Advanced Eyecare Inc. | Past | Accepting new patients | |
| Aeve, PA | Past | Accepting new patients | |
| Shekhar Desai MD LLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Satellite Beach, FL
- NPI 1184906810
Orthopaedic Surgery
-
- Optometrist
- Abilene, TX
- NPI 1104001643
-
- Optometrist
- Abilene, TX
- NPI 1083159800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1992795009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 GATEWAY DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012607",
"telephone_number": "321-952-4445",
"fax_number": "321-952-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 BABCOCK ST NE",
"address_2": "SUITE 111",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054612",
"telephone_number": "321-952-4445",
"fax_number": "321-952-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "SHEKHAR",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME59178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "200037431",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4339774",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "053065400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4234237004",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "12128",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.