FORAM RAJENDRA DESAI (M.D.) – Internal Medicine Physician, NPI 1174722011

FORAM RAJENDRA DESAI (M.D.) is a healthcare provider. based in Skokie, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036155510 (IL). The NPI Number for FORAM RAJENDRA DESAI (M.D.) is 1174722011

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
FORAM RAJENDRA DESAI (M.D.)
NPI
1174722011
Phone
(847) 676-1112
Address
9650 GROSS POINT RD STE 1900
Enumeration Date
12 July 2007
Last Update Date
12 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
8224108006
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20210603001127
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for FORAM RAJENDRA DESAI (M.D.)

  • 9650 GROSS POINT RD STE 1900

    SKOKIE, IL 600765006

    Phone: (847) 676-1112

    Fax: (847) 674-3358

    Type: Mailing

  • 6326 Cermak Rd

    Berwyn, IL 604022304

    Phone: (708) 303-9234

    Type: Location

  • 375 S. Washington Avenue

    Bergenfield, NJ 07621

    Phone: (201) 384-0036

    Fax: (201) 384-7304

    Type: Location

  • Holy Name Medical Center, 718, Teaneck Road, Teaneck Township, Bergen County, New Jersey, 07666, United States

    TEANECK, NJ 076664245

    Phone: (201) 833-7265

    Fax: (201) 227-6207

    Type: Mailing

  • 375, South Washington Avenue, Bergenfield, Bergen County, New Jersey, 07621, United States

    BERGENFIELD, NJ 07621

    Phone: (201) 384-0036

    Fax: (201) 384-7304

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Lilly USA, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210603001127IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes280189$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit139139$0
99214Established patient office or other outpatient visit, 30-39 minutes12196$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2626$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 60076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

How is FORAM RAJENDRA DESAI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists FORAM RAJENDRA DESAI (M.D.) with NPI 1174722011.
Is FORAM RAJENDRA DESAI (M.D.) still practicing?
FORAM RAJENDRA DESAI (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does FORAM RAJENDRA DESAI (M.D.) hold?
Scheduling teams often label FORAM RAJENDRA DESAI (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does FORAM RAJENDRA DESAI (M.D.) serve?
FORAM RAJENDRA DESAI (M.D.)'s listing highlights Skokie, Illinois; more addresses can appear in NPPES.
Why does FORAM RAJENDRA DESAI (M.D.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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