NPIMap

Individual provider Active NPI

Manish I Desai, D.O.

  • Internal Medicine Physician
  • Cicero, IL
National Provider Identifier
1881699080
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036105725 Issued in IL
Practice address
5909 W 35TH St
Cicero, IL 60804-4163
Phone
(708) 652-2040
Fax
(708) 652-0058
NPI assigned
Jun 15, 2005
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036105725 IL Primary

Addresses

Primary practice location

5909 W 35TH St
Cicero, IL 60804-4163

Mailing address

5909 W 35TH St
Cicero, IL 60804-4163
Phone (708) 652-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000498 IL Practitioner - General PracticePractitioner - Internal Medicine 1355350612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vip 2U LTDGroup PAC ID 6709137854, 2 clinicians

Practice addresses (Care Compare)

235 Remington Blvd E
Bolingbrook, IL 60440-3685
Phone (630) 771-1201

360 W Butterfield Rd
Suite 325
Elmhurst, IL 60126-5088
Phone 3127284728166

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vip 2U, LTD. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
I.Desai & R. Gokani, M.D.,S.C. Internal Medicine CurrentSince May 1, 2006 Accepting new patients
I.Desai & R.Gokani,M.D.,S.C. Internal Medicine CurrentSince May 1, 2006 Accepting new patients
Natarajan Medical Group of Illinois, PC CurrentSince Feb 10, 2023 Accepting new patients
Alc Palliative and Hospice Care, Inc Past Accepting new patients

Locations

235 Remington Blvd
Ste E
Bolingbrook, IL 60440
Phone (630) 771-1201

5909 W 35th St
Cicero, IL 60804
Phone (708) 298-4802

606 Potter Rd
Des Plaines, IL 60016
Phone (800) 570-8809

360 W Butterfield Rd
Ste 325
Elmhurst, IL 60126
Phone (312) 728-4728

600 Enterprise Dr
Ste 208
Oak Brook, IL 60523
Phone (630) 368-1102

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ryze on the AvenueChicago, IL, CCN 145337 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2023
Jun 1, 2023
Kenwood Village Nursing and Rehabilitation CenterChicago, IL, CCN 145828 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2024
Jul 1, 2024
Alc Palliative and Hospice Care IncElmhurst, IL, CCN 141668 Hospice Contracted Managing Employee May 1, 2021
Orion Hospice and Palliative Care IncWillowbrook, IL, CCN 141717 Hospice Contracted Managing Employee Apr 1, 2025
Caretenders HospiceRolling Meadows, IL, CCN 141665 Hospice Contracted Managing Employee Jun 1, 2018

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1881699080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 W 35TH ST",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044163",
            "telephone_number": "708-652-2040",
            "fax_number": "708-652-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 W 35TH ST",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044163",
            "telephone_number": "708-652-2040",
            "fax_number": "708-652-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MANISH",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036105725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

Verify at the official NPI Registry.