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DHAVAL R DESAI MD
NPI 1912159195
Hospitalist in Atlanta, GA

Active since October 19, 2008Opted out of Medicare · through Jan 1, 2028
92.26/100
CMS Quality Rating
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342(678) 843-7990(678) 843-4969 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dhaval R Desai Md NPPES

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

DHAVAL R DESAI MD (NPI 1912159195) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (67915) and active in the NPI registry since October 2008. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1912159195
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDHAVAL R DESAICredential: MD
Location Address5665 PEACHTREE DUNWOODY RDAtlanta, GA 30342-1764
Mailing Address5665 Peachtree Dunwoody RdAtlanta, GA 30342-1764 · (678) 843-7990 · Fax (678) 843-4969
Phone(678) 843-7990
Fax(678) 843-4969
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 19, 2008
Last NPPES UpdateSeptember 21, 2015
✔ NPI 1912159195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 67915
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
5665 PEACHTREE DUNWOODY RD, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 2

Medicaid0057844OH
Medicare PINH050760OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dhaval R Desai Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
216 services141 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
73 services72 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services55 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers21 claims21 services$3.09 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 20

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

ASHLEY SCHADE PAAA
Anesthesiologist Assistant
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (706) 543-3449
ALLEN YEN MD
Radiology (Radiation Oncology)
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (404) 778-1900
PRINCE N MARTIN
Emergency Medicine
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7001
JONAH SINGER PA-C
Physician Assistant
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7001
STEPHEN COLE TURNER RN
Registered Nurse (Critical Care Medicine)
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7001
JANISE PHILLIPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5665 PEACHTREE DUNWOODY RD
SANDY SPRINGS, GA 30342
Fulton County (678) 843-7109
DEAJAH GREENE FNP
Nurse Practitioner (Family)
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7001
BRANDILYNN GROLL LUNSFORD AA-C
Anesthesiologist Assistant
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7324

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 Dhaval Desai's NPI number?

The NPI number for Dhaval Desai is 1912159195. It was assigned to this individual provider in the NPPES registry on October 19, 2008.

Where is Dhaval Desai located?

Dhaval Desai practices at 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342. The listed phone number is (678) 843-7990.

What is Dhaval Desai's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Dhaval Desai enrolled in Medicare?

No. Dhaval Desai has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Dhaval Desai accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dhaval 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 Dhaval Desai affiliated with any hospitals?

According to CMS data, Dhaval Desai is affiliated with Northside Hospital Forsyth, Saint Joseph's Hospital Of Atlanta, Inc and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Dhaval Desai was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.