DR. PRATIK VIPIN DESAI (NPI# 1588652283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588652283 |
Entity Type | Individual |
Full Name | DR. PRATIK VIPIN DESAI |
Credential | MD |
Practice Address |
300 Keisler Dr Suite 204 Cary NC 27511-7083 |
Practice Telephone | 9192330059 |
Practice Fax Number | 9192330343 |
Mailing Telephone | 9192330059 |
Mailing Fax Number | 9192330343 |
Enumeration Date | 2005-10-07 |
Last Update Date | 2007-12-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | NC BLUE CROSS BLUE SHIELD | 126AP | 01 |
NC | 89126AP | 05 | |
UNITED HEALTHCARE | 2556252 | 01 | |
CIGNA HEALTHCARE | 3451106 | 01 | |
MEDCOST | A1279 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487944963 | Pratik Desai | Anesthesiology | 225 Greenfield Pkwy Ste 105, Liverpool, NY 13088-6656 | 2011-04-18 |
1982752572 | Pratik Desai | Orthopaedic Surgery | 1285 Orange Ave, Winter Park, FL 32789-4984 | 2007-01-08 |
1205822640 | Pratik S Desai | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | 2005-09-21 |
Street Address |
300 KEISLER DR SUITE 204 |
City | CARY |
State | NC |
Zip Code | 27511-7083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679561369 | Priyavadan Maneklal Shah | Internal Medicine | 300 Keisler Dr, Suite 204, Cary, NC 27511-7083 | 2005-10-07 |
1073121265 | Laiby Boban | Nurse Practitioner | 300 Keisler Dr, Cary, NC 27518-7083 | 2020-07-14 |
1811522089 | Wakemed Specialists Group LLC | Internal Medicine | 300 Keisler Dr, Cary, NC 27518-7083 | 2020-03-09 |
1104200815 | Heather Santori | Nurse Practitioner | 300 Keisler Dr, Cary, NC 27518-7083 | 2015-07-13 |
1558772574 | Wake Specialty Physicians,llc | Internal Medicine | 300 Keisler Dr, Cary, NC 27518-7083 | 2014-05-13 |
1891130415 | Sarah Willis Tiesing | Nurse Practitioner | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 2013-05-09 |
1053559641 | Michelle Lyn Kuerbitz | Nurse Practitioner | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 2009-02-04 |
1255578415 | Cary Cardiology Associates | Non-Pharmacy Dispensing Site | 300 Keisler Dr, 200, Cary, NC 27518-7083 | 2009-01-09 |
1316101876 | Wake Plastic Surgery, Pllc | Clinic/Center | 300 Keisler Dr, Suite 102, Cary, NC 27518-7083 | 2008-07-14 |
1629240395 | Pavlo I Netrebko | Internal Medicine | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 2008-04-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
Find all providers in zip 27511 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932505294 | Donald Frederick Fortin | Internal Medicine | 14001 Weston Pkwy, Suite 101, Cary, NC 27513-2255 | 2014-11-14 |
1235366634 | Kamal Kumar Padmanabhan Kolappa | Internal Medicine | 7560 Carpenter Fire Station Rd, Cary, NC 27519-8616 | 2009-06-12 |
1740364447 | Alison Arnold | Internal Medicine | 402 Panorama Park Pl, Cary, NC 27519-0857 | 2006-10-25 |
1679561369 | Priyavadan Maneklal Shah | Internal Medicine | 300 Keisler Dr, Suite 204, Cary, NC 27511-7083 | 2005-10-07 |
1790208981 | Triangle Cardiology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd, Cary, NC 27519-8616 | 2017-07-20 |
1558772574 | Wake Specialty Physicians,llc | Internal Medicine | 300 Keisler Dr, Cary, NC 27518-7083 | 2014-05-13 |
1629240395 | Pavlo I Netrebko | Internal Medicine | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 2008-04-02 |
1013940295 | Private Diagnostic Clinic, Pllc | Internal Medicine | 3700 Nw Cary Pkwy, Suite 100, Cary, NC 27513-8446 | 2006-07-09 |
1780661033 | Joshua C Macomber | Internal Medicine | 300 Keisler Dr, Suite 204, Cary, NC 27511-7083 | 2005-12-28 |
1982681417 | Bhavani Balaravi | Internal Medicine | 300 Ashville Ave, Suite 301, Cary, NC 27518-8682 | 2005-12-27 |
Find all providers in CARY |
Please comment or provide details below to improve the information on DR. PRATIK VIPIN DESAI.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.