Individual provider Active NPI

Shreeyu Desai, NP

  • Family Nurse Practitioner
  • Carol Stream, IL
National Provider Identifier
1235929654
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.032453 Issued in IL
Practice address
371 S Main PL
Carol Stream, IL 60188-2427
Phone
(630) 682-1950
Fax
(630) 682-1960
NPI assigned
May 8, 2025
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.032453 IL Primary

Addresses

Primary practice location

371 S Main PL
Carol Stream, IL 60188-2427

Mailing address

180 Montvale LN
Bloomingdale, IL 60108-3049
Phone (630) 452-8056

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008001568 IL Practitioner - Nurse Practitioner 9931606738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

180 Montvale LN
Bloomingdale, IL 60108-3049

371 S Main PL
Carol Stream, IL 60188-2427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.032453ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Primary Care Physicians S.C. CurrentSince Jul 19, 2025 Accepting new patients

Locations

371 S Main Pl
Carol Stream, IL 60188
Phone (630) 260-2409

Organizations & group practices 1

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": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1235929654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MONTVALE LN",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601083049",
            "telephone_number": "630-452-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 S MAIN PL",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882427",
            "telephone_number": "630-682-1950",
            "fax_number": "630-682-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHREEYU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.032453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.