DR. MARK DESANTIS D.O.
NPI 1053424192
Radiology - Body Imaging in Northport, NY

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
79 MIDDLEVILLE RD, NORTHPORT, NY 11768(631) 261-4400 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Desantis D.o. NPPES

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

DR. MARK DESANTIS D.O. (NPI 1053424192) is an individual body imaging provider in Northport, New York, licensed in New Jersey (25MB08021500) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1053424192
Entity TypeIndividualMale
Primary Taxonomy2085B0100X
Provider Legal NameDR. MARK DESANTISCredential: D.O.
Location Address79 MIDDLEVILLE RDNorthport, NY 11768
Mailing Address79 Middleville RdNorthport, NY 11768-2200 · (631) 261-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 15, 2006
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1053424192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
License Licensed in NJ · 25MB08021500
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Also ListedNuclear MedicineTaxonomy 207U00000X · License OS10292 (FL)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License OS10292 (FL)
79 MIDDLEVILLE RD, Northport, NY 11768

Other Identifiers 1

Medicaid126125400FL

Accepted Insurance

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. Mark Desantis D.o. 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 ID244493807
PECOS Enrollment IDI20251105001957
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.

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.

Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Social Worker (Clinical)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Anesthesiology
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
General Acute Care Hospital
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Nurse Practitioner (Psychiatric/Mental Health)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Pharmacist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Occupational Therapist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768

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 Mark Desantis's NPI number?

The NPI number for Mark Desantis is 1053424192. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Mark Desantis located?

Mark Desantis practices at 79 Middleville Rd, Northport, NY 11768. The listed phone number is (631) 261-4400.

What is Mark Desantis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

Is Mark Desantis enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Desantis accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Mark Desantis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Desantis was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.