NPIMap

Organization Active NPI

I.Desai & R. Gokani, M.D.,S.C.

Doing business as Personal Physicians West

  • Internal Medicine Physician
  • Bolingbrook, IL
National Provider Identifier
1205082443
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036098420 Issued in IL
Legal business name
I.DESAI & R. GOKANI, M.D.,S.C.
Doing business as
Personal Physicians West
Practice address
235 Remington Blvd
Suite E
Bolingbrook, IL 60440-5826
Phone
(630) 771-1201
Fax
(630) 771-1203
NPI assigned
Aug 7, 2008
Last updated
Mar 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Miss Erin McClement
Title
Practice Manager
Phone
(708) 652-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036098420 IL Primary

Addresses

Primary practice location

235 Remington Blvd
Suite E
Bolingbrook, IL 60440-5826

Mailing address

5909 W 35TH St
Cicero, IL 60804-4163
Phone (708) 652-2040

Other names 1

  • Personal Physicians West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050819000117 IL Part B Supplier - Clinic/Group Practice 9234169244 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Bolingbrook, IL; Cicero, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1060829Personal Physician West235 Remington Blvd, Ste E, Bolingbrook, IL 60440Provider-performed microscopyNov 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Idesai R Gokani MDSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

235 Remington Blvd
Ste E
Bolingbrook, IL 60440
Phone (630) 771-1201

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1205082443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 W 35TH ST",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044163",
            "telephone_number": "708-652-2040",
            "fax_number": "708-652-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 REMINGTON BLVD",
            "address_2": "SUITE E",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405826",
            "telephone_number": "630-771-1201",
            "fax_number": "630-771-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.DESAI & R. GOKANI, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "MCCLEMENT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "708-652-2040",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Physicians West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.