Active NPI
I.Desai & R.Gokani,M.D.,S.C.
- Internal Medicine Physician
- Cicero, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- I.DESAI & R.GOKANI,M.D.,S.C.
- Practice address
- 5909 W 35TH St
Cicero, IL 60804-4163 - Phone
- (708) 652-2040
- Fax
- (708) 652-0058
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
5909 W 35TH St
Cicero, IL 60804-4163
Mailing address
5909 W 35TH St
Cicero, IL 60804-4163
Phone (708) 652-2040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM8148 | Other | IL | RR MEDICARE PIN |
| 0021625882 | Other | IL | BLUE CROSS & BLUE SHIELD |
Other names 1
- Personal Physicians
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050819000117 | IL | Part B Supplier - Clinic/Group Practice | 9234169244 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the 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.
-
dba Personal Physicians West
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1205082443
O20050819000117
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0669041 | Personal Physicians SC | Certificate of waiver | Nov 17, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Idesai R Gokani MDSC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Personal Physicians West
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1205082443
Locations
5909 W 35th St
Cicero, IL 60804
Phone (708) 298-4802
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Internal Medicine Physician
- Cicero, IL
- NPI 1881699080
-
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1285722207
-
- Internal Medicine Physician
- Cicero, IL
- NPI 1811085822
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1477994523
-
- Obstetrics & Gynecology Physician
- Cicero, IL
- NPI 1154303584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1215066345",
"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": "5909 W 35TH ST",
"city": "CICERO",
"state": "IL",
"postal_code": "608044163",
"telephone_number": "708-652-2040",
"fax_number": "708-652-0058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I.DESAI & R.GOKANI,M.D.,S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2022-07-21",
"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": "",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "CM8148",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "0021625882",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Personal Physicians",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.