Individual provider Active NPI

Manisha V Desai, DMD

  • Dentist
  • Aurora, IL
National Provider Identifier
1184850661
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.027969 Issued in IL
Practice address
5 N Root St
Suite #105
Aurora, IL 60505-3429
Phone
(630) 800-1137
Fax
(630) 800-1672
NPI assigned
Jun 10, 2009
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.027969 IL Primary

Addresses

Primary practice location

5 N Root St
Suite #105
Aurora, IL 60505-3429

Mailing address

5 N. Root St.
Suite #105
Aurora, IL 60505
Phone (630) 800-1137

Other identifiers 1

IdentifierTypeStateIssuer
1184850661MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425001380 IL Order and Referring Only - Other (Non-Physician) 1052610193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.027969ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vinayak Dental, P.C. Dentist Current Accepting new patients
Ganesh Dental, P.C. Dentist Current Accepting new patients
Siddhi Vinayak Dental Current Accepting new patients

Locations

5 N Root St
Ste 105
Aurora, IL 60505
Phone (203) 362-9987

5521 S Kedzie Ave
Unit 105
Chicago, IL 60629
Phone (203) 362-9987

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1184850661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N. ROOT ST.",
            "address_2": "SUITE #105",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60505",
            "telephone_number": "630-800-1137",
            "fax_number": "630-800-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N ROOT ST",
            "address_2": "SUITE #105",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053429",
            "telephone_number": "630-800-1137",
            "fax_number": "630-800-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MANISHA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184850661",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.