Subodh C Desai MD SC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SUBODH C DESAI MD SC

Practice address

2137 Oak Park Ave
Berwyn, IL 60402-1718

Phone

(708) 746-4660

Fax

(708) 749-4665

NPI assigned

Apr 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alan Hester

Title

Biller

Phone

(773) 827-7000

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Subodh C Desai, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Berwyn, IL
  • NPI 1487612420
  NPD (past)
• Deepak Leekha, MD

  • Internal Medicine Physician
  • Cicero, IL
  • NPI 1770540163
  NPD (past)
• Srikanth Bandela, MD

  • Internal Medicine Physician
  • Waco, TX
  • NPI 1619988755
  NPD (past)
• Parag Sampat, MD

  • Internal Medicine Physician
  • Waterloo, IA
  • NPI 1508823998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1790742195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021718",
            "telephone_number": "708-746-4660",
            "fax_number": "708-749-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021718",
            "telephone_number": "708-746-4660",
            "fax_number": "708-749-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBODH C DESAI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "773-827-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Stewart, PHD LCSW
• Helen Rose Stewart, MSW LCSW
• Pamela Strauss, MD
• Leroy Stromberg III, MD
• Patrick Suberlak, M.D.
• Suburban Otolaryngology,S.C.
• Suburban Physical Therapy Inc
• Suburban Urology Associates,LTD
• Karen Suggs, LSW
• Andrea Jo Swanson, MS QMHP

• Adult Medicine Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Adult Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.