Active NPI
Paul M Desrosiers, MD
- Radiation Oncology Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 01047188A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200279370 | Medicaid | IN | |
| 000000744259 | Other | IN | ANTHEM PROVIDER NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01047188A | IN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uropartners LLC | Current | Accepting new patients | |
| Uropartners LLC | Radiation Oncology | Current | Accepting new patients |
| Uropartners, LLC | Current | 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
- 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.
-
- Urology Physician
- Gurnee, IL
- NPI 1518027812
-
- Durable Medical Equipment & Medical Supplies
- Geneva, IL
- NPI 1659124683
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
-
- Radiation Oncology Physician
- Indianapolis, IN
- NPI 1770534687
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": []
}
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- Katrina D Devers
- Zachary Ryan Devore, LPC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.