| Jignesh Desai MD PLLC | |
|
5401 Farm Ridge Ln Prospect KY 40059-7618 | |
| (201) 741-1306 | |
| Not Available |
| Full Name | Jignesh Desai MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5401 Farm Ridge Ln, Prospect, Kentucky |
| Authorized Official Name and Position | Jignesh Desai (OWNER) |
| Authorized Official Contact | 2017411306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jignesh Desai MD PLLC 5401 Farm Ridge Ln Prospect KY 40059-7618 Ph: (201) 741-1306 | Jignesh Desai MD PLLC 5401 Farm Ridge Ln Prospect KY 40059-7618 Ph: (201) 741-1306 |
| NPI Number | 1730989336 |
|---|---|
| Provider Enumeration Date | 03/14/2025 |
| Last Update Date | 02/10/2026 |
| Certification Date | 02/10/2026 |
| Medicare PECOS PAC ID | 4385168657 |
|---|---|
| Medicare Enrollment ID | O20250408002007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730989336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
| Provider Name | Jignesh Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265857114 PECOS PAC ID: 0648402479 Enrollment ID: I20141029002607 |
| Provider Name | Meredith Stevens Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316523723 PECOS PAC ID: 0941617344 Enrollment ID: I20210331002834 |
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