Vijay Desai, M.D.
Individual provider Active NPI Emergency Medicine Physician · Watseka, IL
NPI 1497748040 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1497748040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Practice address
- 200 E Fairman Ave
Watseka, IL 60970-1644 - Phone
- (630) 321-8300
- Fax
- (630) 321-8750
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040319000245 | IL | Practitioner - Emergency Medicine | 0244120475 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-064134 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Service Systems, Inc | Current |
Accepting new patients | |
| Ottawa Regional Hospital & Healthcare Center | Current |
Accepting new patients | |
| Health Service Systems, Inc | Current |
Accepting new patients | |
| Ottawa Regional Hospital & Healthcare Center | Current |
Accepting new patients | |
| Emergency Care Physician Services | Emergency Medicine | Past | Accepting new patients |
| Heartland Emergency Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
| St. Anthony Home Medical Equipment | Past | Accepting new patients | |
| Unimed, LTD | Past | Accepting new patients | |
| Greater Elgin Emergency Specialists LTD | Emergency Medicine | Past | Accepting new patients |
| Hoopeston Emergency Medicine Specialists, LTD. | Emergency Medicine | Past | Accepting new patients |
| Fischer Mangold/Joliet | Emergency Medicine | Past | Accepting new patients |
| Empact Emergency Physicians LLC | Past | Accepting new patients | |
| Emergency Care Physician Services-Blue Island LTD | Emergency Medicine | Past | Accepting new patients |
| Illinois/Indiana Em-I Medical Services, S.C. | Emergency Medicine | Past | Accepting new patients |
Locations
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337
1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850
925 West St
Peru, IL 61354
Phone (815) 223-3300
111 Spring St
Streator, IL 61364
Phone (815) 672-4587
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | Yes |
Addresses
Primary practice location
200 E Fairman Ave
Watseka, IL 60970-1644
Mailing address
150 Quail Ridge Dr
Westmont, IL 60559-6142
Phone (630) 321-8300
Other providers in Watseka, IL
- Walter Lee Curry
- Khym Isaac De Barros
- Dara De Boer
- Erin Renae Dean
- Jenny Denault
- Hollye Dionne
- Charlotte Fay Douglas
- Randy Gene Dowdell
- DRS. Martin & Rose
- Dsi Watseka Operator LLC
All providers in Watseka, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.