CONNIE ANJOLI DESARDEN M.D.
NPI 1306100227
Internal Medicine in Wauwatosa, WI

NPI Status: Active since June 26, 2012

Contact Information

3289 N MAYFAIR RD
WAUWATOSA, WI
ZIP 53222
Phone: (414) 771-7900
Fax: (414) 607-6336

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  • Individual
  • Female
  • Internal Medicine
  • PECOS Enrolled
  • Opted-Out Medicare

About CONNIE DESARDEN

This page provides the complete NPI Profile along with additional information for Connie Desarden, an internist established in Wauwatosa, Wisconsin with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1306100227 assigned on June 2012. The practitioner's primary taxonomy code is 207R00000X with license number 67984 (WI). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1306100227
Provider Name
CONNIE ANJOLI DESARDEN M.D.
Gender
Female
Entity Type
Individual
Location Address
3289 N MAYFAIR RD WAUWATOSA, WI 53222
Location Phone
(414) 771-7900
Location Fax
(414) 607-6336
Mailing Address
3289 N MAYFAIR RD WAUWATOSA, WI 53222
Mailing Phone
(414) 771-7900
Mailing Fax
(414) 607-6336
Is Sole Proprietor?
No
Enumeration Date
06-26-2012
Last Update Date
02-01-2022
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An internist like Connie Desarden is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Connie Desarden opted out of Medicare effective on 07-03-2023 until 07-03-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
67984
License State
WI
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Medicare Participation & PECOS Enrollment Status

Connie Desarden is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 07-03-2023

  • Opt-Out End Date: 07-03-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 14 times for 14 patients

Administration of pneumococcal vaccine

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

This service was performed 21 times for 21 patients

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

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.

This service was performed 90 times for 90 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 162 times for 115 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 152 times for 94 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 14 times for 14 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53222 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $123.69
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $30.92
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.41
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $23.85
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for CONNIE ANJOLI DESARDEN M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306100227, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 2 + 0 + 0 + 2 + 4 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1306100227.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Family Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Durable Medical Equipment & Medical Supplies
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Clinic/Center (Radiology, Mammography)
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Clinical Medical Laboratory
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Obstetrics & Gynecology
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Surgery
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Physical Therapist
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Nurse Practitioner
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Family Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Nurse Practitioner
3289 N MAYFAIR RD
MILWAUKEE, WI 53222
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306100227, enumerated as an "individual" on June 26, 2012.

The provider is located at 3289 N MAYFAIR RD WAUWATOSA, WI 53222 and the phone number is (414) 771-7900.

Internal Medicine with taxonomy code 207R00000X.