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JOSHUA E. DEISENROTH P.A.
NPI 1700846904
Physician Assistant in Worcester, MA

Active since March 23, 2006PECOS Enrolled
123 SUMMER ST, WORCESTER, MA 01608(508) 363-7180(508) 363-7164 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua E. Deisenroth P.a. NPPES

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

JOSHUA E. DEISENROTH P.A. (NPI 1700846904) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (1088) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1700846904
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSHUA E. DEISENROTHCredential: P.A.
Location Address123 SUMMER STWorcester, MA 01608-1200
Mailing Address123 Summer StWorcester, MA 01608-1200 · (508) 363-7180 · Fax (508) 363-7164
Phone(508) 363-7180
Fax(508) 363-7164
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1700846904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · 1088
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
123 SUMMER ST, Worcester, MA 01608
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Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-3452 · Fax (508) 334-7284

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua E. Deisenroth P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MADAIAH LOKESHWARI M.D.
Hospitalist
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6849
DR. JENNIFER LYNNE PAPPALARDO DPM
Podiatrist (Foot & Ankle Surgery)
123 SUMMER ST, DEPARTMENT OF PODIATRY
WORCESTER, MA 01608
Worcester County (508) 363-7390
DR. MADHAV SHARMA MD
Internal Medicine
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5438
YESHASWINI KATKOORI MD
Student in an Organized Health Care Education/Training Program
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DANIELLE MAY PELOQUIN
Nurse Anesthetist, Certified Registered
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DR. YAYAN CHEN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6049
FARRICY & KRAFT LLP
Obstetrics & Gynecology (Obstetrics)
123 SUMMER ST, SUITE 560
WORCESTER, MA 01608
Worcester County (508) 363-6100
KEITH A BEALS PA
Physician Assistant
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000

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 Joshua Deisenroth's NPI number?

The NPI number for Joshua Deisenroth is 1700846904. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Joshua Deisenroth located?

Joshua Deisenroth practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-7180.

What is Joshua Deisenroth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joshua Deisenroth enrolled in Medicare?

Yes. Joshua Deisenroth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Deisenroth was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.