MIRA DESAI AGPCNP
NPI 1538559190
Nurse Practitioner - Gerontology in Stone Mountain, GA

Q: What is Mira Desai's NPI number?

The NPI number for Mira Desai is 1538559190. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Q: What is Mira Desai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Mira Desai was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 February 03, 2015PECOS Enrolled

1825 ROCKBRIDGE RD STE 15B, STONE MOUNTAIN, GA 30087(470) 444-3134(470) 276-4370 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2025, May 15, 2023, Jun 6, 2022 and 3 more (6 updates tracked since 2020).

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About Mira Desai Agpcnp NPPES

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

MIRA DESAI AGPCNP (NPI 1538559190) is an individual gerontology provider in Stone Mountain, Georgia, licensed in Illinois (277.002161) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1538559190

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMIRA DESAICredential: AGPCNP

Location Address1825 ROCKBRIDGE RD STE 15BStone Mountain, GA 30087-3306

Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373

Phone(470) 444-3134

Fax(470) 276-4370

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 3, 2015

Last NPPES UpdateJune 6, 20256 updates tracked since enumeration

NPPES CertifiedJune 6, 2025

✔ NPI 1538559190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in IL · 277.002161✔ Licensed in RI · APRN03074✔ Licensed in CT · 13875✔ Licensed in VA · 0001299163

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN309281 (GA)

1825 ROCKBRIDGE RD STE 15B, Stone Mountain, GA 30087

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Secondary Practice Locations 7

Location 12000 N Main St Ste AWaterbury, CT 06704-2364 · Phone (203) 951-8306

Location 23621 Aramingo Ave Ste 5CPhiladelphia, PA 19134-4607 · Phone (215) 444-7472

Location 32240 E 53rd St # B-1Indianapolis, IN 46220-3479 · Phone (317) 933-7047

Location 4300 Quaker Ln # C2-4Warwick, RI 02886-0159 · Phone (401) 233-5051

Location 511260 E Jefferson AveDetroit, MI 48214-3320 · Phone (313) 749-0148 · Fax (313) 263-3298

Location 63046 127th StBlue Island, IL 60406-1827 · Phone (708) 377-7920 · Fax (708) 930-0414

Location 75246 Chamberlayne RdRichmond, VA 23227-2950 · Phone (804) 913-7029

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mira Desai Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800104787

PECOS Enrollment IDI20201202002478, I20210127003198, I20220907000246, I20221017001493, I20230328002898, I20230530001651, I20241120002384

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.

Medicare Billing Reassignments

Medicare enrollment records show Mira Desai reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Street Health Of Georgia PC

Same address

Primary Care

1825 ROCKBRIDGE RD STE 15B
Stone Mountain, GA 30087

Reassigned Medicare billing, Georgia enrollment
57 clinicians in this Medicare group

NPI 1588258024 (470) 444-3134

Oak Street Health Physicians Group Of South Carolina, LLC

119 mi

Primary Care

6119 WHITE HORSE RD STE 14
Greenville, SC 29611

Reassigned Medicare billing, South Carolina enrollment
40 clinicians in this Medicare group

NPI 1023614914 (312) 733-9730

Osh-Mi Physicians Group PC

292 mi

Family Medicine

1007 SUMMIT AVE
Greensboro, NC 27405

Reassigned Medicare billing, North Carolina, Tennessee and Michigan enrollments
Also billed through NPI 1720635790 (Tennessee), NPI 1700236478 (Michigan)
92 clinicians in this Medicare group

NPI 1033766092 (336) 200-7010

Oak Street Health Physicians Group Of Kentucky, PLLC

312 mi

Primary Care

5743 PRESTON HWY
Louisville, KY 40219

Reassigned Medicare billing, Kentucky enrollment
24 clinicians in this Medicare group

NPI 1467031997 (502) 444-6008

Osh-In Physicians Group, PC

430 mi

Primary Care

2240 E 53RD ST STE B1
Indianapolis, IN 46220

Reassigned Medicare billing, Indiana enrollment
80 clinicians in this Medicare group

NPI 1073995338 (317) 933-7047

Osh-Va Physicians Group PLLC

452 mi

Primary Care

3900 HULL STREET RD
Richmond, VA 23224

Reassigned Medicare billing, Virginia enrollment
31 clinicians in this Medicare group

NPI 1346941424 (804) 292-7620

Osh-Il Physicians Group LLC

471 mi

Primary Care

2420 STATE ST
East Saint Louis, IL 62205

Reassigned Medicare billing, Illinois enrollment
35 clinicians in this Medicare group

NPI 1265977698 (618) 318-8809

Osh-Oh Physicians Group PC

543 mi

Primary Care

10688 LORAIN AVE
Cleveland, OH 44111

Reassigned Medicare billing, Ohio enrollment
75 clinicians in this Medicare group

NPI 1346747946 (216) 682-7703

Oak Street Health Physicians Group, PC

576 mi

Primary Care

1715 E 95TH ST
Chicago, IL 60617

Reassigned Medicare billing, Illinois enrollment
343 clinicians in this Medicare group

NPI 1083051643 (773) 768-4437

Osh - PA Physicians Group, PC

656 mi

Primary Care

3621 ARAMINGO AVE STE C5
Philadelphia, PA 19134

Reassigned Medicare billing, Pennsylvania enrollment
196 clinicians in this Medicare group

NPI 1811405533 (215) 444-7472

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 4

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.

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

25 services25 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

25 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services17 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30087 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Other Providers at the Same Location NPPES 17

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

MS. KENISHA FRANCISCO APRN

Nurse Practitioner (Family)