KEVIN J DESANTIS MD
NPI 1255353595
General Practice in Port Charlotte, FL

Q: What is Kevin Desantis's NPI number?

The NPI number for Kevin Desantis is 1255353595. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Kevin Desantis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Desantis was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment

1912 KINGS HWY UNIT 700, PORT CHARLOTTE, FL 33980(941) 255-0032(941) 391-5213 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2024, Jan 4, 2024 (2 updates tracked since 2024).

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About Kevin J Desantis Md NPPES

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

KEVIN J DESANTIS MD (NPI 1255353595) is an individual general practice provider in Port Charlotte, Florida, licensed in Florida (ME58093) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Port Charlotte, and is a graduate of New York Medical College (1987).

NPPES Registry Identity

NPI1255353595

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameKEVIN J DESANTISCredential: MD

Location Address1912 KINGS HWY UNIT 700Port Charlotte, FL 33980-4305

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(941) 255-0032

Fax(941) 391-5213

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1987

Enumeration DateJuly 24, 2006

Last NPPES UpdateJune 3, 20242 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1255353595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME58093

Definition

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

Also ListedEmergency MedicineTaxonomy 207P00000X · License ME58093 (FL)

1912 KINGS HWY UNIT 700, Port Charlotte, FL 33980

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Secondary Practice Location 1

Location 12450 Tamiami Trl Ste APort Charlotte, FL 33952-3922 · Phone (941) 624-2704 · Fax (941) 627-6066

Other Identifiers 1

Medicaid064805100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Kevin J Desantis Md 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 ID9335142637

PECOS Enrollment IDI20070616000057

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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Desantis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph Emergency Medical Physicians PA

2.8 mi

Emergency Medicine

2500 HARBOR BLVD
Port Charlotte, FL 33952

Reassigned Medicare billing, Florida enrollment
26 clinicians in this Medicare group

NPI 1053358903 (305) 665-4614

Millennium Physician Group LLC

34 mi

Family Medicine

6321 DANIELS PKWY
Fort Myers, FL 33912

Reassigned Medicare billing, Florida enrollment
1,278 clinicians in this Medicare group

NPI 1811122880 (877) 856-3774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

354 services301 patients

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.

165 services160 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

88 services11 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

86 services85 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

72 services72 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

70 services70 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

30 services15 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

26 services17 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

26 services26 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.

23 services23 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

22 services20 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

20 services18 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

17 services15 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

16 services14 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

13 services13 patients

Diphtheria and tetanus vaccine (7 years or older) 90714

The Diphtheria and Tetanus vaccine is a preventive measure given to individuals aged 7 or older. It helps your body develop immunity to these serious diseases. The vaccine is typically administered as a shot in the arm or thigh. It's a crucial part of maintaining your health.

13 services13 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

11 services11 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

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 Kevin Desantis's NPI number?

The NPI number for Kevin Desantis is 1255353595. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Kevin Desantis located?

Kevin Desantis practices at 1912 Kings Hwy Unit 700, Port Charlotte, FL 33980. The listed phone number is (941) 255-0032.

What is Kevin Desantis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kevin Desantis enrolled in Medicare?

Yes. Kevin 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 organizations bill Medicare for Kevin Desantis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Desantis reassigns Medicare benefits to 2 organizations: St. Joseph Emergency Medical Physicians PA (Port Charlotte, FL) and Millennium Physician Group LLC (Fort Myers, FL). Each 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 Kevin Desantis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Desantis accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kevin 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 Kevin Desantis was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.