DR. AJAY KISHOR DESAI (D.O.) – Pediatrics Physician, NPI 1295962462

DR. AJAY KISHOR DESAI (D.O.) is a healthcare provider. based in Lakeland, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS12568 (FL). The NPI Number for DR. AJAY KISHOR DESAI (D.O.) is 1295962462

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. AJAY KISHOR DESAI (D.O.)
NPI
1295962462
Phone
(863) 816-3449
Address
1046 S FLORIDA AVE
Enumeration Date
16 June 2009
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6692316870
Graduation Year
2006 (20 years ago)
PAC ID
7618140476
Group Practice PAC ID
1052859873
Professional Enrollment ID
I20160316002397
Address ID
FL331793899MI390XXSTXX453
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:16State licenses:2Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

Provider Addresses for DR. AJAY KISHOR DESAI (D.O.)

  • 1046 S FLORIDA AVE

    LAKELAND, FL 338031118

    Phone: (863) 816-3449

    Type: Location

  • 3820 GUNN HWY STE 100

    TAMPA, FL 336188720

    Phone: (813) 840-4304

    Fax: (813) 948-3010

    Type: Location

  • Johns Hopkins All Children's Hospital, 501, 6th Avenue South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    ST. PETERSBURG, FL 33701

    Phone: (727) 767-7280

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Dynasplint Systems Inc. ($68).

Total Amount

$68

General + Research + Ownership

Payments

1

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dynasplint Systems Inc.$68
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160316002397IPediatric MedicineFLTBD
I20250508000195IPediatric MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33803)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052859873View full group profile
NameSpecialtyState
Family PracticeMD
Internal MedicineNY
Emergency Medicine, Family PracticeFL
Pediatric Medicine, Family Practice, Infectious DiseaseNY
Family PracticeDC
Family PracticeAZ
Internal MedicineCA
Internal MedicineFL
Family PracticeIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. AJAY KISHOR DESAI (D.O.)?
DR. AJAY KISHOR DESAI (D.O.) — NPI 1295962462 — is the standard way to identify this listing.
Does CMS list DR. AJAY KISHOR DESAI (D.O.) as active?
Yes — DR. AJAY KISHOR DESAI (D.O.) is active in the NPI listing used on this page.
What is DR. AJAY KISHOR DESAI (D.O.)'s primary classification?
Pediatrics Physician is the headline specialty for DR. AJAY KISHOR DESAI (D.O.) here. Clinical services aligned with this taxonomy classification.
Where is DR. AJAY KISHOR DESAI (D.O.) based?
DR. AJAY KISHOR DESAI (D.O.) is tied to Lakeland, Florida in the data we show; additional addresses may exist on the full record.
Why does DR. AJAY KISHOR DESAI (D.O.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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