Active NPI
Woodley Desir, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 036.167421
- Practice address
- 1301 S Koke Mill Rd
Springfield, IL 62711-9252 - Phone
- (217) 547-9100
- Fax
- (217) 547-9236
- NPI assigned
- Nov 17, 2008
- Last updated
- Jul 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036.167421 | IL | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 01084885A | IN |
Addresses
Primary practice location
1301 S Koke Mill Rd
Springfield, IL 62711-9252
Mailing address
1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone (217) 547-9100
Other practice location 1
1010 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 599-6000
Other practice location 2
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 599-7421
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.56 of 100
- Quality
- 57.12
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 17 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.167421 | IL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Associates PC | Multi-Specialty | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Multi-Specialty | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Multi-Specialty | Current | Accepting new patients |
| Freeport Regional Health Care Foundation | Multi-Specialty | Current | Accepting new patients |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Multi-Specialty | Current | Accepting new patients |
| Orthopaedic Center of Illinois | Past | Accepting new patients | |
| Major Hospital | Multi-Specialty | Past | Accepting new patients |
Locations
1010 Fairway Dr
Freeport, IL 61032
Phone (815) 599-6340
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111
179 River St
Oneonta, NY 13820
Phone (607) 432-8477
4433 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 762-2176
Organizations & group practices 10
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.
-
dba FHN
- Family Medicine Physician
- Freeport, IL
- NPI 1457337016
Multi-Specialty
-
dba Mount Sinai Brooklyn Heights
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1255719563
Multi-Specialty
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Durable Medical Equipment & Medical Supplies
- Binghamton, NY
- NPI 1629252556
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1144372798
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1447405576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S KOKE MILL RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627119252",
"telephone_number": "217-547-9100",
"fax_number": "217-547-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S KOKE MILL RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627119252",
"telephone_number": "217-547-9100",
"fax_number": "217-547-9236"
}
],
"practiceLocations": [
{
"address_1": "1010 Fairway Dr",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610326600",
"country_code": "US",
"telephone_number": "815-599-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESIR",
"first_name": "WOODLEY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-17",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036.167421",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IN",
"license": "01084885A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.