DR. NITINCHANDRA DAHYABHAI DESAI MD
NPI 1245202696
Internal Medicine in Fayetteville, NC

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1309 MEDICAL DR, SUITE 102, FAYETTEVILLE, NC 28304(910) 437-5130(910) 437-5128 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2025, Jul 3, 2025, Mar 7, 2023 (3 updates tracked since 2023).

About Dr. Nitinchandra Dahyabhai Desai Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NITINCHANDRA DAHYABHAI DESAI MD (NPI 1245202696) is an individual internal medicine provider in Fayetteville, North Carolina, licensed in North Carolina (9600078) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1245202696
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NITINCHANDRA DAHYABHAI DESAICredential: MD
Location Address1309 MEDICAL DR, SUITE 102Fayetteville, NC 28304-4425
Mailing Address1309 Medical Dr, Suite 102Fayetteville, NC 28304-4425 · (910) 437-5130 · Fax (910) 437-5128
Fax(910) 437-5128
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateFebruary 1, 2006
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1245202696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 9600078
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1309 MEDICAL DR, Fayetteville, NC 28304

Secondary Practice Location 1

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-5680

Other Identifiers 2

OtherNC 9600078NC · License No.
Medicaid8901515NC

Accepted 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

Dr. Nitinchandra Dahyabhai 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 ID5597774331
PECOS Enrollment IDI20070713000506
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
476 services159 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
178 services134 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
114 services114 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
70 services70 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims41 services$6.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims19 services$1.14 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers56 claims56 services$95.65 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers32 claims32 services$34.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers14 claims14 services$199.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1309 MEDICAL DR, SUITE 1
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1309 MEDICAL DR, SUITE 1
FAYETTEVILLE, NC 28304
Physician Assistant
1309 MEDICAL DR
FAYETTEVILLE, NC 28304
Physician Assistant (Medical)
1309 MEDICAL DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245202696, enumerated as an "individual" on February 01, 2006.

The provider is located at 1309 MEDICAL DR SUITE 102 FAYETTEVILLE, NC 28304 and the phone number is (910) 437-5130.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Nitinchandra Desai is affiliated with: CAPE FEAR VALLEY MEDICAL CENTER.