Prashant G Deshpande, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-092749 Issued in IL

Practice address

8100 W 119TH St
Palos Park, IL 60464-3041

Phone

(708) 361-3300

Fax

(708) 361-8139

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pdeshpande276542@direct.myadvocateaurora.org

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.

• Southwest Pediatrics, LTD.

  • Pediatrics Physician
  • Palos Park, IL
  • NPI 1427094416
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1891730214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W 119TH ST",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643041",
            "telephone_number": "708-361-3300",
            "fax_number": "708-361-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W 119TH ST",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643041",
            "telephone_number": "708-361-3300",
            "fax_number": "708-361-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "PRASHANT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-092749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092749",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdeshpande276542@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8100 W 119th St",
            "city": "Palos Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604643041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8100 W 119th St",
            "city": "Palos Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604643041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Sharon Cushing, PHD, BCBA
• Michelle L Dalton, FNP
• Helena Davis, FNP-BC
• Terence A Deady, D.D.S.
• Deana L. Fisher, P.C.
• Ramesh H. Doshi, M.D.
• Julia Caitlin Espel, MD
• F. Michael Sheehan DDS LTD
• Jenise Farano, FPA-NP
• Holly Moak Fedor, PSY.D.

• Pediatrics Physician in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.