| Dr Ketan M Desai, MD | |
|
625 S New Ballas Rd Ste 7063, Saint Louis, MO 63141-8218 | |
| (314) 251-4200 | |
| (314) 251-5816 |
| Full Name | Dr Ketan M Desai |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 26 Years |
| Location | 625 S New Ballas Rd Ste 7063, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285759985 | NPI | - | NPPES |
| 1285759985 | Medicaid | MO | |
| P01112373 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 2001015133 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Mercy Hospital Lincoln | Troy, MO | Hospital |
| Mercy Hospital South | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Surgical Specialists Llc | 1153455076 | 149 |
| Entity Name | Mercy Clinic Heart And Vascular Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932176401 PECOS PAC ID: 8820016207 Enrollment ID: O20051103000947 |
| Entity Name | Mercy Clinic Surgical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043530538 PECOS PAC ID: 1153455076 Enrollment ID: O20100813001038 |
| Entity Name | Mercy Hospital St Louis Professional Surgical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154782340 PECOS PAC ID: 1557651718 Enrollment ID: O20160601001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ketan M Desai, MD 625 S New Ballas Rd Ste 7063, Saint Louis, MO 63141-8218 Ph: (314) 251-4200 | Dr Ketan M Desai, MD 625 S New Ballas Rd Ste 7063, Saint Louis, MO 63141-8218 Ph: (314) 251-4200 |
Dr. Matthew Russell Smeds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-4730 Fax: 314-977-1642 | |
Dr. William C Chapman Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1044 N Mason Rd, Div Surg Colon/rectal, Ste 310, Saint Louis, MO 63141 Phone: 314-454-7177 Fax: 888-425-7946 | |
Dr. Bradley Seth Kushner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Vascular, Saint Louis, MO 63110 Phone: 314-273-7373 Fax: 888-840-6225 | |
Eddy C Hsueh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-4440 Fax: 314-977-1630 | |
Dr. Jay M Snow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10296 Big Bend Rd Ste 206, Saint Louis, MO 63122 Phone: 314-366-4874 Fax: 314-366-4875 | |
Dr. Lj Punch, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5501 Delmar Blvd Ste A430, Saint Louis, MO 63112 Phone: 314-624-0398 | |
Dr. David Caplin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141 Phone: 314-569-0130 Fax: 314-569-3674 |