DR. NISHA SHAH DESAI (MD) – Dermatology Physician, NPI 1265605984

DR. NISHA SHAH DESAI (MD) is a healthcare provider. based in Portland, Oregon. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD154248 (OR). The NPI Number for DR. NISHA SHAH DESAI (MD) is 1265605984

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. NISHA SHAH DESAI (MD)
NPI
1265605984
Phone
(503) 223-1933
Address
2525 NW LOVEJOY ST STE 400
Enumeration Date
3 April 2008
Last Update Date
28 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032231933
Graduation Year
2007 (19 years ago)
PAC ID
9638343601
Group Practice PAC ID
2466625256
Professional Enrollment ID
I20111201000366
Address ID
OR972102865PO2525XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

232 DERMATOLOGY in OR

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Provider Addresses for DR. NISHA SHAH DESAI (MD)

  • Northwest Lovejoy Street, Pearl District, Portland, Metro, Multnomah County, Oregon, 97208, United States

    PORTLAND, OR 972102865

    Phone: (503) 223-1933

    Fax: (503) 223-1947

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $3,773.

Total Amount is formed as General ($3,395) + Research ($378) + Ownership ($0) = $3,773.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: PFIZER INC. ($2,730).

Total Amount

$3,773

General + Research + Ownership

Payments

38

Total payment records

General Amount

$3,395

General payments

Research Amount

$378

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2011-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20111201000366IDermatologyORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths32068$0
99213Established patient office or other outpatient visit, 20-29 minutes272204$0
99214Established patient office or other outpatient visit, 30-39 minutes188139$0
17000Destruction of precancer skin growth, 1 growth10791$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9626$0
View full utilization report →

Insurance plans in this area (ZIP 97210)

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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: 2466625256View full group profile
NameSpecialtyState
Nurse PractitionerOR
-OR
Physician AssistantOR
D E R M A T O L O G YOR
D E R M A T O L O G YCO
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

Where can patients find DR. NISHA SHAH DESAI (MD)'s NPI?
You can confirm DR. NISHA SHAH DESAI (MD) with NPI 1265605984; it appears in the national provider directory.
Is DR. NISHA SHAH DESAI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. NISHA SHAH DESAI (MD) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. NISHA SHAH DESAI (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. NISHA SHAH DESAI (MD)?
We surface Portland, Oregon for DR. NISHA SHAH DESAI (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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