KEVIN J DESANTIS MD NPI 1255353595

NPI Information

  • NPI: 1255353595
  • Provider Name: KEVIN J DESANTIS, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1912 KINGS HWY UNIT 700
    PORT CHARLOTTE, FL
    ZIP 33980
  • Phone: (941) 255-0032

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NPI Details

Kevin J Desantis, MD is a general practice in Port Charlotte, FL with 39 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Kevin J Desantis, MD NPI is 1255353595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1987

The provider's business location address is:

1912 KINGS HWY UNIT 700
PORT CHARLOTTE, FL
ZIP 33980-305
Phone: (941) 255-0032
Fax: (941) 391-5213

The NPI 1255353595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Automated urinalysis test (HCPCS:81003)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 6/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineME58093FLORIDANo
2208D00000XGeneral PracticeME58093FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1064805100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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