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HIREN DESAI
NPI 1912570169
Nurse Practitioner in Downers Grove, IL

Active since July 23, 2021PECOS EnrolledAccepts Medicare Assignment
45.98/100
CMS Quality Rating
3825 HIGHLAND AVE, DOWNERS GROVE, IL 60515(708) 445-5094 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2026, Mar 24, 2025, Jan 3, 2022 and 1 more (4 updates tracked since 2021).

About Hiren Desai NPPES

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

HIREN DESAI (NPI 1912570169) is an individual nurse practitioner in Downers Grove, Illinois, licensed in Illinois (209023526) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Barrington, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1912570169
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameHIREN DESAI
Location Address3825 HIGHLAND AVEDowners Grove, IL 60515-1552
Mailing Address307 Sutherland LnBloomingdale, IL 60108-1937 · (630) 280-1070
Phone(708) 445-5094
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 23, 2021
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1912570169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209023526
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3825 HIGHLAND AVE, Downers Grove, IL 60515
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Secondary Practice Location 1

Location 1405 Lake Zurich RdBarrington, IL 60010-3141 · Phone (844) 656-8763

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hiren Desai is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244620359
PECOS Enrollment IDI20211203002389
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Hiren Desai reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chicago Midwest Geriatrics Physicians Inc
1.8 mi
Geriatric Medicine
2S633 BRIARCLIFF CT
Lombard, IL 60148
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1104273440 (630) 981-7250
Vpa PC
5.1 mi
Family Medicine
117W755 BUTTERFIELD ROAD, UNIT 104
Oakbrook Terrace, IL 60181
  • Reassigned Medicare billing, Illinois enrollment
  • 189 clinicians in this Medicare group
NPI 1174925663 (312) 818-4650
Transitions Home Medical Group PLLC
14 mi
Nurse Practitioner
2312 TOUHY AVE
Elk Grove Village, IL 60007
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
NPI 1871890657 (847) 515-1505
Bridgecare, Inc.
14 mi
Geriatric Medicine
2250 E DEVON AVE, SUITE 333
Des Plaines, IL 60018
  • Reassigned Medicare billing, Illinois enrollment
  • 19 clinicians in this Medicare group
NPI 1033507249 (224) 803-2273
Hpa Medical Management, LLC
24 mi
Hospice and Palliative Medicine
405 LAKE ZURICH RD STE 100
Barrington, IL 60010
  • Reassigned Medicare billing, Illinois enrollment
  • 20 clinicians in this Medicare group
NPI 1164176483 (847) 381-5599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
995 services196 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
78 services14 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
52 services16 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
51 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
48 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

45.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40
Cost36.6

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.

PETER MICHAEL KERWIN MD
Internal Medicine (Interventional Cardiology)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Dupage County (630) 719-4799
BARRY SADEGI M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515
Dupage County (630) 434-9300
STEPHEN MICHAEL ROWLEY MD
Internal Medicine (Cardiovascular Disease)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Dupage County (630) 719-4799
DR. KOTESWARA RAO BATCHU M.D.
Legal Medicine
3825 HIGHLAND AVE, SUITE 4B
DOWNERS GROVE, IL 60515
Dupage County (630) 963-4990
BARRY SADEGI, M.D., S.C.
Obstetrics & Gynecology
3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515
Dupage County (630) 434-9300
DR. PAUL J WEST M.D.
Urology
3825 HIGHLAND AVE, SUITE 207
DOWNERS GROVE, IL 60515
Dupage County (630) 960-1498
DR. CYNTHIA ANN WOLLENSCHLAGER M.D.
Internal Medicine (Infectious Disease)
3825 HIGHLAND AVE, TOWER I, SUITE 3F
DOWNERS GROVE, IL 60515
Dupage County (630) 971-9275
MATTHEW OSCEOLA NORA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Dupage County (630) 719-4799

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hiren Desai's NPI number?

The NPI number for Hiren Desai is 1912570169. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Hiren Desai located?

Hiren Desai practices at 3825 Highland Ave, Downers Grove, IL 60515. The listed phone number is (708) 445-5094.

What is Hiren Desai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Hiren Desai enrolled in Medicare?

Yes. Hiren Desai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hiren Desai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiren Desai reassigns Medicare benefits to 5 organizations: Chicago Midwest Geriatrics Physicians Inc (Lombard, IL), Vpa PC (Oakbrook Terrace, IL), Transitions Home Medical Group PLLC (Elk Grove Village, IL), Bridgecare, Inc. (Des Plaines, IL) and Hpa Medical Management, LLC (Barrington, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hiren Desai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hiren Desai was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.