Organization Active NPI

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

  • Internal Medicine Physician
  • Cicero, IL
National Provider Identifier
1215066345
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 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

IdentifierTypeStateIssuer
CM8148OtherILRR MEDICARE PIN
0021625882OtherILBLUE CROSS & BLUE SHIELD

Other names 1

  • Personal Physicians Other name

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
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.

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
14D0669041Personal Physicians SC5909 W 35TH St, Cicero, IL 60804Certificate of waiverNov 17, 2027

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

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.

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.

Verify at the official NPI Registry.