MR. KENNETH ANDRE DESANDIES MD NPI 1417059239

NPI Information

  • NPI: 1417059239
  • Provider Name: MR. KENNETH ANDRE DESANDIES, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 6192 OXON HILL RD
    SUITE 303
    OXON HILL, MD
    ZIP 20745
  • Phone: (301) 567-0978

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NPI Details

MR. Kenneth Andre Desandies, MD is an obstetrics gynecology in Oxon Hill, MD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MR. Kenneth Andre Desandies, MD NPI is 1417059239. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6192 OXON HILL RD
SUITE 303
OXON HILL, MD
ZIP 20745
Phone: (301) 567-0978
Fax: (301) 567-3155

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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 9/2/2006 and was last updated on 7/8/2007.

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
1207V00000XObstetrics & Gynecology029522VIRGINIANo
2207V00000XObstetrics & GynecologyD22793MARYLANDYes

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
1166170MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
26287930MEDICAIDVIRGINIA
3166170MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
4C88113MEDICARE UPIN

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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