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NIRAJ DESAI MD
NPI 1063679769
Internal Medicine - Nephrology in Macon, GA

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
640 MARTIN LUTHER KING JR BLVD, SUITE 200, MACON, GA 31201(478) 745-5455(478) 745-2915 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1063679769
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNIRAJ DESAICredential: MD
Location Address640 MARTIN LUTHER KING JR BLVD, SUITE 200Macon, GA 31201-3206
Mailing Address640 Martin Luther King Jr Blvd, Suite 200Macon, GA 31201-3206 · (478) 745-5455 · Fax (478) 745-2915
Phone(478) 745-5455
Fax(478) 745-2915
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2005
Enumeration DateMay 20, 2008
Last NPPES UpdateJuly 6, 2011
✔ NPI 1063679769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 66476
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 66476 (GA)
640 MARTIN LUTHER KING JR BLVD, Macon, GA 31201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6507034113
PECOS Enrollment IDI20220322000190
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services11 patients

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.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

DR. SWATHI SINGANAMALA MD
Internal Medicine (Nephrology)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Bibb County (478) 745-5455
AZMI A KABBANI MD
Internal Medicine (Nephrology)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Bibb County (478) 745-5455
KIDNEY DIALYSIS CENTER, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
640 MARTIN LUTHER KING JR BLVD, SUITE 100
MACON, GA 31201
Bibb County (478) 742-5850
MR. ADAM NORMAN RHOADES PA-C
Physician Assistant (Medical)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Bibb County (478) 745-5455
MR. VINCE GOLDEN
Dietitian, Registered (Nutrition, Renal)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Bibb County (478) 742-5850
MRS. KAREN J. M. DONATO PA-C
Physician Assistant
640 MARTIN LUTHER KING JR BLVD
MACON, GA 31201
Bibb County (478) 745-5455
MACON MEDICAL GROUP PC
Internal Medicine (Nephrology)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Bibb County (478) 745-5455
LUDWIG V CAVALIERE MD
Internal Medicine (Nephrology)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Bibb County (478) 745-5455

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.

What insurance does Niraj Desai accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer 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.