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DR. NICHOLAS NELSON DESANTIS D.P.M.
NPI 1053317545
Podiatrist - Foot & Ankle Surgery in San Diego, CA

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
2306 6TH AVE, SAN DIEGO, CA 92101(619) 239-3286(619) 239-0172 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicholas Nelson Desantis D.p.m. NPPES

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

DR. NICHOLAS NELSON DESANTIS D.P.M. (NPI 1053317545) is an individual foot & ankle surgery provider in San Diego, California, licensed in California (E2474) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1053317545
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. NICHOLAS NELSON DESANTISCredential: D.P.M.
Location Address2306 6TH AVESan Diego, CA 92101-1643
Mailing Address2306 6th AveSan Diego, CA 92101-1643 · (619) 239-3286 · Fax (619) 239-0172
Phone(619) 239-3286
Fax(619) 239-0172
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateJune 21, 2005
Last NPPES UpdateJune 7, 2013
✔ NPI 1053317545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E2474
2306 6TH AVE, San Diego, CA 92101
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Other Identifiers 5

Medicare UPINT19202CA
Other000E24740CA · Blue Cross
Medicaid000E24741CA
Medicare PINE2474BCA
Medicare NSC4810530001CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas Nelson Desantis D.p.m. 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 ID8921079120
PECOS Enrollment IDI20040802001602
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
592 services195 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
83 services83 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
17 services17 patients

Other Providers at the Same Location NPPES 3

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

DR. JEROME ANTHONY WISNIEW DPM
Podiatrist (Foot & Ankle Surgery)
2306 6TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 232-0179
PARK ROW PODIATRY INC.
Podiatrist (Foot & Ankle Surgery)
2306 6TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 239-3286
DR. MITCHELL L FEINGOLD D.P.M.
Podiatrist
2306 6TH AVE
SAN DIEGO, CA 92101
San Diego County (858) 550-8110

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 Nicholas Desantis's NPI number?

The NPI number for Nicholas Desantis is 1053317545. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Nicholas Desantis located?

Nicholas Desantis practices at 2306 6th Ave, San Diego, CA 92101. The listed phone number is (619) 239-3286.

What is Nicholas Desantis's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nicholas Desantis enrolled in Medicare?

Yes. Nicholas Desantis 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.

When was this NPI record last updated?

The NPPES record for Nicholas Desantis was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.