Active NPI
Sujal Desai, D.O
- Orthopaedic Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036116885
- Practice address
- 3021 N Sheffield Ave
Chicago, IL 60657-4419 - Phone
- (872) 843-0550
- Fax
- (872) 873-9070
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036116885 | IL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 20A9978 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | 036116885 | IL | Primary |
Addresses
Primary practice location
3021 N Sheffield Ave
Chicago, IL 60657-4419
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036116885 | Other | IL | STATE OF ILLINOIS LICENSE |
| 20A9978 | Other | CA | CALIFORNIA STATE LICENSE# |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdesai363689@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1435 W Webster Ave
Chicago, IL 60614-3049
Phone (630) 368-1771
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
3021 N Sheffield Ave
Chicago, IL 60657-4419
Phone (872) 843-0550
3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 296-5420
836 W Wellington
Suite G346
Chicago, IL 60657-5147
Phone (773) 296-7147
836 W Wellington Ave
Chicago, IL 60657-5147
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Advocate Home Health Care Serv
- Advocate Illinois Masonic Medical Center
- Osf Little Company of Mary Medical Center
- Advocate Christ Hospital & Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036116885 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Internal Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
1435 W Webster Ave
Chicago, IL 60614
Phone (773) 356-7733
2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200
29373 Network Pl
Chicago, IL 60673
3021 N Sheffield Ave
Chicago, IL 60657
Phone (773) 296-7450
2850 W 95th St
Ste 406
Evergreen Pk, IL 60805
Phone (708) 422-5090
12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Interoperability endpoints
- sdesai363689@direct.myadvocateaurora.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Urgent Care Clinic/Center
- Oak Lawn, IL
- NPI 1033162086
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1588617260
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
-
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1215036330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 N SHEFFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574419",
"telephone_number": "872-843-0550",
"fax_number": "872-873-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "SUJAL",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036116885",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "20A9978",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036116885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS LICENSE",
"identifier": "036116885",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LICENSE#",
"identifier": "20A9978",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdesai363689@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3021 N Sheffield Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574419",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3021 N Sheffield Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.