SAMIR DESAI MD NPI 1952417644
Internal Medicine - Infectious Disease in Shawnee, KS

About SAMIR DESAI MD

Samir Desai is an internist established in Shawnee, Kansas and his medical specialization is Internal Medicine with a focus in infectious disease with more than 38 years of experience. The NPI number of Samir Desai is 1952417644 and was assigned on August 2006. The practitioner's primary taxonomy code is 207RI0200X with license number 04249382 (KS). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1952417644
Provider Name SAMIR DESAI MD
Location Address7255 RENNER RD SHAWNEE, KS 66217
Location Phone(913) 631-0405
Mailing Address7255 RENNER RD SHAWNEE, KS 66217
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1985
Is Sole Proprietor?No
Enumeration Date08-22-2006
Last Update Date04-16-2018

An internist like Samir Desai Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Samir Desai is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Samir Desai is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Adventhealth Shawnee Mission, Olathe Medical Center, Providence Medical Center and University Of Kansas Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: documentation of current medications in the medical record, preventive care and screening: body mass index (bmi) screening and follow-up plan and use of high-risk medications in the elderly.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.8 for a new patient copayment and $24.61 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RI0200X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInfectious Disease
License No.04249382
License StateKS
Taxonomy DescriptionAn internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

SAMIR DESAI MD
7255 RENNER RD
SHAWNEE, KS
ZIP 66217
Phone: (913) 631-0405
Fax: (913) 631-0409

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Mailing Address

SAMIR DESAI MD
7255 RENNER RD
SHAWNEE, KS
ZIP 66217
Phone: (913) 631-0405
Fax: (913) 631-0409


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1153394481
PECOS Enrollment IDI20041007000433
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 66217 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.99 $168.07 $127.22
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.74 $42.01 $31.8
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.06 $137.62 $98.47
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.26 $34.4 $24.61

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 30
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Documentation of Current Medications in the Medical Record 69% 629
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 5% 455
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Use of High-Risk Medications in the Elderly 1% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
196
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Samir Desai is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ADVENTHEALTH SHAWNEE MISSION9100 W 74TH STREET
SHAWNEE MISSION, KS 66204
(913) 676-2152Acute Care Hospitals170104
OLATHE MEDICAL CENTER20333 WEST 151ST STREET
OLATHE, KS 66061
(913) 791-4200Acute Care Hospitals170049
PROVIDENCE MEDICAL CENTER8929 PARALLEL PARKWAY
KANSAS CITY, KS 66112
(913) 596-4000Acute Care Hospitals170146
UNIVERSITY OF KANSAS HOSPITAL4000 CAMBRIDGE STREET
KANSAS CITY, KS 66160
(913) 588-7332Acute Care Hospitals170040

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
100158200CMEDICAID (05)KS

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952417644
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102811468
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 8 + 1 + 1 + 4 + 6 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1952417644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831205533 LORA UTECH ARNP
Individual
Nurse Practitioner7255 RENNER RD
SHAWNEE, KS 66217
(913) 962-6600
1285790303MS. NANCY E. LANG MSW, LCSW, LSCSW
Individual
Social Worker (Clinical)7255 RENNER RD
SHAWNEE, KS 66217
(913) 788-9777
1942325816 AILEEN PAULA UTLEY PH.D.
Individual
Psychologist (Counseling)7255 RENNER RD
SHAWNEE, KS 66217
(913) 596-3297
1952797755SIGNATURE MEDICAL GROUP OF KC, PA
Organization
Durable Medical Equipment & Medical Supplies7255 RENNER RD
SHAWNEE MISSION, KS 66217
(913) 788-7111
1710375175KC INFECTIOUS DISEASE CONSULTANTS LLC
Organization
Internal Medicine (Infectious Disease)7255 RENNER RD
SHAWNEE, KS 66217
(913) 631-0405
1760598429 PRAVIN PATEL MD
Individual
Internal Medicine (Gastroenterology)7255 RENNER RD
SHAWNEE, KS 66217
(913) 962-6600
1457429524DR. STEVEN D RETTINGER MD
Individual
Family Medicine7255 RENNER RD
SHAWNEE, KS 66217
(913) 399-4400

Frequently Asked Questions

What is Samir Desai MD NPI number?

The NPI number assigned to Samir Desai MD is 1952417644, registered as an "individual" on August 22, 2006

Where is Samir Desai MD located?

The provider is located at 7255 Renner Rd Shawnee, Ks 66217 and the phone number is (913) 631-0405

Which is Samir Desai MD specialty?

The provider's speciality is Internal Medicine with a focus in Infectious Disease

How many years of experience does Samir Desai MD have?

The provider has more than 38 years of experience.

What insurance does Samir Desai MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Samir Desai MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Samir Desai MD?

Medicare beneficiaries should expect a typical cost of $127.22 with an average copayment of $31.8 for new patient appointments. Established patients should expect a typical charge of $98.47 and an average copayment of 24.61. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Samir Desai MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: ADVENTHEALTH SHAWNEE MISSION, OLATHE MEDICAL CENTER, PROVIDENCE MEDICAL CENTER and UNIVERSITY OF KANSAS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Samir Desai MD was last updated on August 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]