ANISH SUMANT DESAI M.D.
NPI 1447465232
Internal Medicine - Pulmonary Disease in Frederick, MD

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
7115 GUILFORD DR, SUITE #202, FREDERICK, MD 21704(301) 663-5922(301) 663-8292 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2021, Dec 23, 2021 (2 updates tracked since 2021).

About Anish Sumant Desai M.d. NPPES

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

ANISH SUMANT DESAI M.D. (NPI 1447465232) is an individual pulmonary disease provider in Frederick, Maryland, licensed in Maryland (D0067657) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of University Of Louisville School Of Medicine (2001).

NPPES Registry Identity

NPI1447465232
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANISH SUMANT DESAICredential: M.D.
Location Address7115 GUILFORD DR, SUITE #202Frederick, MD 21704-5236
Mailing Address7115 Guilford Dr, #202Frederick, MD 21704-5199 · (301) 663-5922 · Fax (301) 663-8292
Fax(301) 663-8292
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2001
Enumeration DateMay 14, 2007
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
NPI 1447465232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in MD · D0067657 Licensed in VA · 0101236647 Licensed in DC · MD035711
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101236647 (VA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D0067657 (MD)
7115 GUILFORD DR, Frederick, MD 21704

Other Identifiers 1

Medicaid416381800MD

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

Anish Sumant Desai M.d. 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 ID6901990480
PECOS Enrollment IDI20070913000933, I20081021000141
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 22

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,056 services51 patients
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.
584 services366 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.
480 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
156 services112 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
106 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
98 services98 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21704 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%33 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers246 claims246 services$33.43 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers115 claims115 services$74.32 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers112 claims270 services$28.17 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers125 claims636 services$16.15 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers123 claims636 services$12.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers244 claims244 services$46.54 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 7

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

Clinic/Center (Endoscopy)
7115 GUILFORD DR, SUITE 201
FREDERICK, MD 21704
Internal Medicine (Pulmonary Disease)
7115 GUILFORD DR, SUITE #202
FREDERICK, MD 21704
Internal Medicine (Pulmonary Disease)
7115 GUILFORD DR, SUITE #202
FREDERICK, MD 21704
Internal Medicine
7115 GUILFORD DR, STE 202
FREDERICK, MD 21704
Dentist
7115 GUILFORD DR, STE 101
FREDERICK, MD 21704
Dentist (General Practice)
7115 GUILFORD DR, STE 101
FREDERICK, MD 21704
Internal Medicine (Pulmonary Disease)
7115 GUILFORD DR, SUITE 202
FREDERICK, MD 21704

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 Anish Desai's NPI number?

The NPI number for Anish Desai is 1447465232. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Anish Desai located?

Anish Desai practices at 7115 Guilford Dr Suite #202, Frederick, MD 21704. The listed phone number is (301) 663-5922.

What is Anish Desai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Anish Desai enrolled in Medicare?

Yes. Anish 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.

Is Anish Desai affiliated with any hospitals?

According to CMS data, Anish Desai is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Anish Desai was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.