NIRAJ DESAI MD
NPI 1063679769
Internal Medicine - Nephrology in Macon, GA
About Niraj Desai Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIRAJ DESAI MD (NPI 1063679769) is an individual nephrology provider in Macon, Georgia, licensed in Georgia (66476) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Niraj Desai Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Niraj Desai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31201
MACON, GA 31201
MACON, GA 31201
MACON, GA 31201
MACON, GA 31201
MACON, GA 31201
MACON, GA 31201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Niraj Desai's NPI number?
The NPI number for Niraj Desai is 1063679769. It was assigned to this individual provider in the NPPES registry on May 20, 2008.
Where is Niraj Desai located?
Niraj Desai practices at 640 Martin Luther King Jr Blvd Suite 200, Macon, GA 31201. The listed phone number is (478) 745-5455.
What is Niraj Desai's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Niraj Desai enrolled in Medicare?
Yes. Niraj Desai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Niraj Desai's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Desai reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Niraj Desai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niraj Desai accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Niraj Desai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Niraj Desai was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Niraj Desai, MD · NPI 1063679769
Nephrology physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since May 20, 2008.
## Identity
- **NPI:** 1063679769 (Entity type: Individual)
- **Enumerated:** May 20, 2008
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 66476 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 640 MARTIN LUTHER KING JR BLVD, SUITE 200, Macon, GA 31201-3206
- **Phone:** (478) 745-5455 · **Fax:** (478) 745-2915
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 2005
## Record status
- **NPPES last updated:** July 6, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1063679769) · Data from the CMS NPPES public registry.