Individual provider Active NPI

Ankit Desai, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Plainfield, IL
National Provider Identifier
1346553450
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
036.139926 Issued in IL
Practice address
15905 S Frederick St Ste 105
Plainfield, IL 60586-2212
Phone
(815) 714-9115
NPI assigned
Jul 17, 2010
Last updated
Jan 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125057904 IL
Ophthalmology Physician 207W00000X 036.139926 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X 036.139926 IL Primary

Addresses

Primary practice location

15905 S Frederick St Ste 105
Plainfield, IL 60586-2212

Mailing address

15905 S Frederick St Ste 105
Plainfield, IL 60586-2212
Phone (815) 714-9115

Other practice location 1

963 N 129th Infantry Dr Ste 110
Joliet, IL 60435-3103
Phone (815) 729-3777

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729000027 IL Practitioner - Ophthalmology 4880819663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eligijus P Lelis MD and Associates, SCGroup PAC ID 5890736102, 6 clinicians

Practice addresses (Care Compare)

15905 S Frederick St
Suite 105
Plainfield, IL 60586-2212
Phone (815) 714-9115

963 N 129TH Infantry Dr
Suite 110
Joliet, IL 60435-3103
Phone (815) 725-9377

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125057904ILMDInternal Medicine Physician
036.139926ILMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deseye Retina LLC Retina Specialist CurrentSince Jan 7, 2020 Accepting new patients

Locations

15905 S Frederick St
Ste 105
Plainfield, IL 60586
Phone (630) 646-5020

Interoperability endpoints

  • Direct secure messaging: adesai@eplmvp.intellechartdirect.net

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 2

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": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1346553450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 S FREDERICK ST STE 105",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862212",
            "telephone_number": "815-714-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 S FREDERICK ST STE 105",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862212",
            "telephone_number": "815-714-9115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "963 N 129th Infantry Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604353103",
            "country_code": "US",
            "telephone_number": "815-729-3777",
            "fax_number": "815-725-9358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ANKIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-17",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125057904",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.139926",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036.139926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.