DR. MADHAV DESAI MD, MPH
NPI 1316384704
Internal Medicine - Gastroenterology in Houston, TX

Q: What is Madhav Desai's NPI number?

The NPI number for Madhav Desai is 1316384704. It was assigned to this individual provider in the NPPES registry on May 27, 2013.

Q: What is Madhav Desai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Madhav Desai was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since May 27, 2013PECOS EnrolledAccepts Medicare Assignment

82.34/100

CMS Quality Rating

6431 FANNIN ST, HOUSTON, TX 77030(713) 500-6500 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Aug 5, 2025, Jun 17, 2024 and 2 more (5 updates tracked since 2016).

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About Dr. Madhav Desai Md, Mph NPPES

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

DR. MADHAV DESAI MD, MPH (NPI 1316384704) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (U4498) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1316384704

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MADHAV DESAICredential: MD, MPH

Location Address6431 FANNIN STHouston, TX 77030-1501

Mailing Address6431 Fannin StHouston, TX 77030-1501 · (713) 500-6500

Phone(713) 500-6500

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 27, 2013

Last NPPES UpdateMay 19, 20265 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1316384704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · U4498

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

6431 FANNIN ST, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed 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

Dr. Madhav Desai Md, Mph 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 ID4082919287

PECOS Enrollment IDI20230807000755, I20240625001544

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 8

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.

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.

33 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

23 services21 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

21 services21 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450289

Location2525 Holly HallHouston, TX 77054 · Harris County

Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450847

Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

82.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.54

Promoting Interoperability

100

Improvement Activities

Cost

38.17

Other Providers at the Same Location NPPES 20

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

DR. STUART MASON FRASER M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

6431 FANNIN ST, MSB 3.151
HOUSTON, TX 77030

Harris County (713) 500-5800

AMY ROSSI MD

Emergency Medicine

6431 FANNIN ST, JJL 431
HOUSTON, TX 77030

Harris County (713) 500-7882

MATTHEW KHOA NGUYEN

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-6113

MARY WAYNE PELTIER MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-5010

HANNA MAVRIC DO

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-7882

DR. DAVIDE CATTANO MD

Anesthesiology

6431 FANNIN ST, MSB 5.020
HOUSTON, TX 77030

Harris County (713) 500-6235

MICHAEL ANTHONY HOLZMAN

Orthopaedic Surgery

6431 FANNIN ST, SUITE JJL 310
HOUSTON, TX 77030

Harris County (713) 500-5154

SHUBHANGI MEHRA

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-0798

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 Madhav Desai's NPI number?

The NPI number for Madhav Desai is 1316384704. It was assigned to this individual provider in the NPPES registry on May 27, 2013.

Where is Madhav Desai located?

Madhav Desai practices at 6431 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-6500.

What is Madhav Desai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Madhav Desai enrolled in Medicare?

Yes. Madhav 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 Madhav Desai accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Madhav 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.

Is Madhav Desai affiliated with any hospitals?

According to CMS data, Madhav Desai is affiliated with Ascension St Vincent's Riverside, Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Harris Health System and Memorial Hermann Katy Hospital.

When was this NPI record last updated?

The NPPES record for Madhav Desai was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.