NPIMap

Individual provider Active NPI

Ralph Emmanuel Desir, DO, MS

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1306408349
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
125.075269 Issued in IL
Practice address
1725 W Harrison St Ste 118
Chicago, IL 60612-3817
Phone
(312) 942-4817
NPI assigned
Jun 29, 2019
Last updated
Jun 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125.075269 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 118
Chicago, IL 60612-3817

Mailing address

1529 S State St Apt 19-G
Chicago, IL 60605-3108
Phone (305) 527-2544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122002392 FL Practitioner - Physical Medicine and Rehabilitation 4385063692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Helping Hands Physicians Group LLCGroup PAC ID 8921431891, 16 clinicians
Kinro Care IncGroup PAC ID 9830568468, 2 clinicians

Practice addresses (Care Compare)

267 Osprey Hammock TRL
Sanford, FL 32771-8117
Phone (407) 545-6232

7901 4TH St N
Suite 300
Saint Petersburg, FL 33702-4399
Phone (407) 900-8098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
125.075269ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kinro Care Inc Physical Medicine & Rehabilitation CurrentSince Feb 1, 2025 Accepting new patients
A Helping Hands Physicians Group LLC CurrentSince Sep 1, 2025 Accepting new patients
Corvia Cardiac Rehab LLC Past Accepting new patients

Locations

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (813) 575-1161

9300 Conroy Windermere Rd
Unit 161
Windermere, FL 34786
Phone (407) 900-8098

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1306408349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 S STATE ST APT 19-G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053108",
            "telephone_number": "305-527-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 118",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123817",
            "telephone_number": "312-942-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIR",
        "first_name": "RALPH",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DO, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125.075269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.