GIRISH GANESH DESHPANDE MD
NPI 1225100977
Pediatrics - Pediatric Critical Care Medicine in Peoria, IL

Q: What is Girish Deshpande's NPI number?

The NPI number for Girish Deshpande is 1225100977. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Girish Deshpande's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Girish Deshpande was last updated on October 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 15, 2006PECOS Enrolled

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2250 Get Directions Write a Review

NPPES record last updated: October 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Girish Ganesh Deshpande Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIRISH GANESH DESHPANDE MD (NPI 1225100977) is an individual pediatric critical care medicine provider in Peoria, Illinois, licensed in Illinois (036109253) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225100977

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameGIRISH GANESH DESHPANDECredential: MD

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2250

Phone(309) 655-2250

Sole ProprietorNo

Enumeration DateNovember 15, 2006

Last NPPES UpdateOctober 3, 2008

✔ NPI 1225100977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IL · 036109253

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

530 NE GLEN OAK AVE, Peoria, IL 61637

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Other Identifiers 3

Other07215036IL · Bcbs

Medicare ID-Type UnspecifiedK15743IL

Medicaid036109253IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Girish Ganesh Deshpande Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMIR SAXENA MD

Internal Medicine