DR. KETAN DESAI (MD) – Allergy & Immunology Physician, NPI 1689809535

DR. KETAN DESAI (MD) is a healthcare provider. based in Colquitt, Georgia. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. 105102 (GA). The NPI Number for DR. KETAN DESAI (MD) is 1689809535

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. KETAN DESAI (MD)
NPI
1689809535
Phone
(229) 281-6096
Address
209 N CUTHBERT ST
Enumeration Date
21 May 2009
Last Update Date
20 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2297584212
Graduation Year
1983 (43 years ago)
PAC ID
9830387125
Group Practice PAC ID
0244224947
Professional Enrollment ID
I20251029000437
Address ID
GA398373517CO208XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:17State licenses:1Digital endpointsOther names

137 ALLERGY/IMMUNOLOGY in GA

Provider Addresses for DR. KETAN DESAI (MD)

  • 209 N CUTHBERT ST

    COLQUITT, GA 398373518

    Phone: (229) 281-6096

    Fax: (229) 281-6097

    Type: Mailing

  • 208 N Cuthbert St

    Colquitt, GA 398373517

    Phone: (229) 758-3304

    Fax: (229) 758-6622

    Type: Location

  • Cold Spring Road, Plattsville, Easton, Greater Bridgeport Planning Region, Connecticut, 06828, United States

    EASTON, PA 180408261

    Phone: (610) 252-8240

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($37).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20101230001057IAllergy/ImmunologyPATBD
I20250627001244IAllergy/ImmunologyTXTBD
I20251029000437IAllergy/ImmunologyGATBD

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 39837)

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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: 0244224947View full group profile
NameSpecialtyState
Nurse PractitionerGA
Plastic And Reconstructive Surgery, General SurgeryAL
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
R H E U M A T O L O G YFL
E N D O C R I N O L O G YGA
Nurse PractitionerGA
Family PracticeGA
P O D I A T R YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KETAN DESAI (MD)?
DR. KETAN DESAI (MD) — NPI 1689809535 — is the standard way to identify this listing.
Does CMS list DR. KETAN DESAI (MD) as active?
Yes — DR. KETAN DESAI (MD) is active in the NPI listing used on this page.
What is DR. KETAN DESAI (MD)'s primary classification?
Allergy & Immunology Physician is the headline specialty for DR. KETAN DESAI (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. KETAN DESAI (MD) serve?
DR. KETAN DESAI (MD)'s listing highlights Colquitt, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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