Individual provider Active NPI

Paul M Desrosiers, MD

  • Radiation Oncology Physician
  • Joliet, IL
National Provider Identifier
1952379042
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01047188A Issued in IN
Practice address
1541 Riverboat Center Dr
Joliet, IL 60431-9341
Phone
(815) 409-4957
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 01047188A IN Primary

Addresses

Primary practice location

1541 Riverboat Center Dr
Joliet, IL 60431-9341

Mailing address

1541 Riverboat Center Dr
Joliet, IL 60431-9341
Phone (815) 409-4957

Other identifiers 2

IdentifierTypeStateIssuer
200279370MedicaidIN
000000744259OtherINANTHEM PROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pauldesrosiers@uropart.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170303001069 IL Practitioner - Radiation Oncology 2668492802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

2600 Patriot Blvd
J
Glenview, IL 60026-8024
Phone (224) 260-3100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01047188AINMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners LLC CurrentSince Sep 1, 2023 Accepting new patients
Uropartners LLC Radiation Oncology Current Accepting new patients
Uropartners, LLC CurrentSince Sep 1, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
University Radiation Oncology Associates, Inc. Radiation Oncology Past Accepting new patients

Locations

2600 Patriot Blvd
Ste J
Glenview, IL 60026
Phone (224) 260-3100

1541 Riverboat Center Dr
Joliet, IL 60431
Phone (815) 409-4700

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

1401 Lakewood Dr
Unit 3
Morris, IL 60450
Phone (815) 409-4700

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

Interoperability endpoints

  • Direct secure messaging: pdesrosiers@auspecialists.direct.varian.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1952379042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 RIVERBOAT CENTER DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319341",
            "telephone_number": "815-409-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 RIVERBOAT CENTER DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319341",
            "telephone_number": "815-409-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01047188A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200279370",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000744259",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pauldesrosiers@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1541 Riverboat Center Dr",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604319341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.