DR. MARK DESANTIS D.O.
NPI 1053424192
Radiology - Body Imaging in Northport, NY
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
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Desantis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92507
- Reassigned Medicare billing, California enrollment
- 349 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Mark Desantis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Desantis reassigns Medicare benefits to Riverside Medical Clinic, Inc (Riverside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Desantis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Desantis accept?
Health plans from Oscar Health Maintenance Organization of Florida 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. Mark Desantis, D.O. · NPI 1053424192
Body Imaging physician in Northport, New York. Individual provider, active in the CMS NPPES registry since August 15, 2006.
## Identity
- **NPI:** 1053424192 (Entity type: Individual)
- **Enumerated:** August 15, 2006
- **Primary specialty:** Radiology - Body Imaging · taxonomy 2085B0100X
- **State license:** 25MB08021500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 79 MIDDLEVILLE RD, Northport, NY 11768
- **Phone:** (631) 261-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Riverside Medical Clinic, Inc (NPI 1780782557, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** June 11, 2026
- **Other identifiers:** Medicaid 126125400 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1053424192) · Data from the CMS NPPES public registry.