Individual provider Active NPI

Woodley Desir, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Springfield, IL
National Provider Identifier
1447405576
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
036.167421 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151021001959 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3971812538 Reassigns benefits to 4 organizations
I20240118002094 IL Practitioner - Orthopedic Surgery 3971812538 Reassigns benefits to 1 organization

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 100Reported as group
Quality
57.12
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.167421ILMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC Multi-Specialty CurrentSince Mar 1, 2018 Accepting new patients
Mary Imogene Bassett Hospital Multi-Specialty CurrentSince Aug 10, 2015 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 10, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Sep 1, 2016 Accepting new patients
Freeport Regional Health Care Foundation Multi-Specialty CurrentSince May 19, 2025 Accepting new patients
United Medical Associates, P.C. CurrentSince Mar 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2016 Accepting new patients
United Health Services Hospitals, Inc. Multi-Specialty CurrentSince Oct 2, 2017 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.