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MATTHEW DESANTO MD
NPI 1619558467
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since April 14, 2021PECOS Enrolled
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-5280(304) 388-5291 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Desanto Md NPPES

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

MATTHEW DESANTO MD (NPI 1619558467) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619558467
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW DESANTOCredential: MD
Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227
Mailing Address3200 Maccorkle Ave SeCharleston, WV 25304-1227 · (304) 388-5280 · Fax (304) 388-5291
Phone(304) 388-5280
Fax(304) 388-5291
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 14, 2021
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1619558467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3200 MACCORKLE AVE SE, Charleston, WV 25304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Desanto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658772512
PECOS Enrollment IDI20260529002037
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510048
Location20 Hospital DriveLogan, WV 25601 · Logan County
Emergency services Birthing friendly

Camc Plateau Medical Center, Inc

Critical Access Hospitals · Oak Hill, WV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number511317
Location430 Main Street, WestOak Hill, WV 25901 · Fayette County
Emergency services

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.

CAMERON DUBA DO
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-4172
WILLIAM JARRETT WISEMAN BSN, RN, CCRN-CMC
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 993-1088
MS. BRENDA LOU KEEFER ANP
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 925-3436
LOUISE NAYLOR
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Kanawha County (304) 388-4077
DR. JEFFREY V ASHLEY M.D.
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Kanawha County (304) 388-4600
TIFFANY D. DUTTON CRNA
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Kanawha County (304) 388-5503
JENNIFER D VALDEZ
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-5432
CHRISTOPHER S MULLINS
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 688-0228

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 Matthew Desanto's NPI number?

The NPI number for Matthew Desanto is 1619558467. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Matthew Desanto located?

Matthew Desanto practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-5280.

What is Matthew Desanto's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Desanto enrolled in Medicare?

Yes. Matthew Desanto is registered in the Medicare PECOS enrollment system.

Is Matthew Desanto affiliated with any hospitals?

According to CMS data, Matthew Desanto is affiliated with Charleston Area Medical Center, Logan Regional Medical Center and Camc Plateau Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Matthew Desanto was last updated on January 11, 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.