Organization Active NPI

Desired Medical Services Incorporated

  • Clinic/Center
  • Lansing, IL
National Provider Identifier
1821607425
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DESIRED MEDICAL SERVICES INCORPORATED
Practice address
3224 Ridge Rd Ste 201
Lansing, IL 60438-3191
Phone
(708) 394-3296
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Ms. Lanneka White, NPNPI 1548662141
Title
Owner
Phone
(708) 394-3296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3224 Ridge Rd Ste 201
Lansing, IL 60438-3191

Mailing address

3224 Ridge Rd Ste 201
Lansing, IL 60438-3191
Phone (708) 394-3296

Other identifiers 1

IdentifierTypeStateIssuer
277.000158MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201001001370 IL Part B Supplier - Clinic/Group Practice 1951720580 Receives reassigned benefits from 3 practitioners
Practice locations: Lansing, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2219402Desired Medical Services Incorporated3224 Ridge Rd - Ste 201, Lansing, IL 60438Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Locations

3224 Ridge Rd
Ste 201
Lansing, IL 60438
Phone (708) 394-3296

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1821607425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 RIDGE RD STE 201",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383191",
            "telephone_number": "708-394-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 RIDGE RD STE 201",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383191",
            "telephone_number": "708-394-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRED MEDICAL SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LANNEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-394-3296",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277.000158",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.