Individual provider Active NPI

Chaitanya Rajendra Desai, M.D.

  • Nephrology Physician
  • Peoria, IL
National Provider Identifier
1508090234
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036.131408 Issued in IL
Practice address
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603
Phone
(309) 676-8123
Fax
(309) 676-8455
NPI assigned
May 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036.131408 IL Primary

Addresses

Primary practice location

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603
Phone (309) 676-8123

Other practice location 1

530 Park Ave East Suite 403
Princeton, IL 61356
Phone (309) 676-8123

Other practice location 2

834 N Seminary St Ste 501
Galesburg, IL 61401
Phone (309) 676-8123

Other practice location 3

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-6247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, ND2 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
I20130223000071 IL Practitioner - NephrologyPractitioner - Internal Medicine 4284786757 Reassigns benefits to 2 organizations
I20250822003518 ND Practitioner - Nephrology 4284786757

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians

Practice addresses (Care Compare)

420 NE Glen Oak Ave
Suite 401
Peoria, IL 61603-3112
Phone (217) 238-6247

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22275NDMDTransplant Surgery Physician
036.131408ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Internal Medicine Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 7, 2025 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 1, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 7, 2025 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 1, 2025 Accepting new patients
Renalcare Associates, S.C. Nephrology CurrentSince Jul 20, 2025 Accepting new patients
Wrightsboro Inpatient Services Internal Medicine Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology PastSince Sep 20, 2020 Accepting new patients

Locations

834 N Seminary St
Ste 501
Galesburg, IL 61401
Phone (309) 343-3303

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

530 Park Ave E
Ste 403
Princeton, IL 61356
Phone (815) 224-1610

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Interoperability endpoints

  • Direct secure messaging: cdesai12034@direct.myadvocateaurora.org
  • Direct secure messaging: cdesai47458@direct.acumenmd.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA
  • Direct secure messaging: cdesai345945@direct.wvuhsdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1508090234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61603",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61603",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Park Ave East Suite 403",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "61356",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 N Seminary St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "61401",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-238-6247",
            "fax_number": "217-258-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "CHAITANYA",
        "middle_name": "RAJENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-09",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036.131408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.