Shreyas Arvind Desai (NPI# 1386646529, PAC ID# 2163472648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1386646529 |
| PAC ID by PECOS | 2163472648 |
| Professional Enrollment ID | I20050124000578 |
| Full Name | Shreyas Arvind Desai |
| Organization Legal Name | INTERNAL MEDICINE,GERIATRICS AND ONCOLOGY GROUP, P.C. |
| Address |
2640 Hamstrom Rd Portage IN 46368-3832 |
| Phone Number | 2197624423 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153338348 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150034 | ST MARY MEDICAL CENTER INC |
| 150002 | METHODIST HOSPITALS INC |
| 150166 | PINNACLE HOSPITAL |
| 150035 | PORTER REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1400 Broadway, Gary, IN 46407-1310 | 2198822305 | INTERNAL MEDICINE,GERIATRICS AND ONCOLOGY GROUP, P.C. |
| 2640 Hamstrom Rd, Portage, IN 46368-3832 | 2197624423 | INTERNAL MEDICINE,GERIATRICS AND ONCOLOGY GROUP, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | INTERNAL MEDICINE,GERIATRICS AND ONCOLOGY GROUP, P.C. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ileana Green | Nurse Practitioner | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Christina D Vlamos | Nurse Practitioner | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Gayle M Voight Block | Nurse Practitioner | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Havishakrishna Sarma | Internal Medicine | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Christine Sackenheim | Nurse Practitioner | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Street Address |
2640 HAMSTROM RD |
| City | PORTAGE |
| State | IN |
| Zip | 46368-3832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ileana Green | Nurse Practitioner | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Christina D Vlamos | Nurse Practitioner | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Gayle M Voight Block | Nurse Practitioner | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Havishakrishna Sarma | Internal Medicine | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Christine Sackenheim | Nurse Practitioner | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Robertson | Clinical Social Worker | 6840 Prairie Run Ave, Portage, IN 46368-2665 | |
| Carol Barbara Hillmann | Clinical Psychologist | 2610 Portage Mall, Portage, IN 46368-3008 | |
| Kim Paul Cory | Optometry | 6509 Central Ave, Portage, IN 46368-3101 | |
| Scott A Cory | Ophthalmology | 6509 Central Ave, Portage, IN 46368-3101 | |
| Daniel R Dewar | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Michael A Villanueva | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Jesse T Murphy | Podiatry | Podiatric Medical Associates PC | 6289 Central Ave, Portage, IN 46368-3725 |
| David Parks | Psychologist, Clinical | 6337 Central Ave, Portage, IN 46368-3801 | |
| Jaclyn Renee Stitt | Chiropractic | 6325 Central Ave, Portage, IN 46368-3801 | |
| Lindsay T Gordon | Nurse Practitioner | Community Care Network Inc | 3545 Arbor Blvd, Suite E, Portage, IN 46368-4298 |
| Find all physicians in zip 46368 | |||
| City | PORTAGE |
| Zip Code | 46368 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PORTAGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shreyas Arvind Desai.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.