ELIZA CAROLINE DESANTIS MD
NPI 1932595485
Pediatrics - Neonatal-Perinatal Medicine in Philadelphia, PA

Active since April 11, 2015PECOS Enrolled
833 CHESTNUT ST STE 1210, PHILADELPHIA, PA 19107(215) 955-2074(215) 861-0408 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2021, Jul 8, 2019, Feb 28, 2019 (3 updates tracked since 2019).

About Eliza Caroline Desantis Md NPPES

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

ELIZA CAROLINE DESANTIS MD (NPI 1932595485) is an individual neonatal-perinatal medicine provider in Philadelphia, Pennsylvania, licensed in Delaware (C7-00007186) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1932595485
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameELIZA CAROLINE DESANTISCredential: MD
Location Address833 CHESTNUT ST STE 1210Philadelphia, PA 19107-4428
Mailing Address833 Chestnut St Ste 1210Philadelphia, PA 19107-4428
Fax(215) 861-0408
Sole ProprietorNo
Enumeration DateApril 11, 2015
Last NPPES UpdateSeptember 16, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
NPI 1932595485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in DE · C7-00007186 Licensed in PA · MT208953
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License MD464274 (PA), 25MA10378300 (NJ)
833 CHESTNUT ST STE 1210, Philadelphia, PA 19107

Other Names 1

Former Name (1)Eliza Caroline Fradkin

Secondary Practice Location 1

Location 11600 Rockland Rd Ste 2B80Wilmington, DE 19803-3607 · Phone (302) 651-5874 · Fax (302) 651-5954

Other Identifiers 1

OtherC7-0005869DE · De Training License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eliza Caroline Desantis Md 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
833 CHESTNUT ST STE 1210
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 1210
PHILADELPHIA, PA 19107
Pediatrics
833 CHESTNUT ST STE 1210
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 1210
PHILADELPHIA, PA 19107
Pediatrics (Neonatal-Perinatal Medicine)
833 CHESTNUT ST STE 1210
PHILADELPHIA, PA 19107
Pediatrics (Neonatal-Perinatal Medicine)
833 CHESTNUT ST STE 1210
PHILADELPHIA, PA 19107

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 Eliza Desantis's NPI number?

The NPI number for Eliza Desantis is 1932595485. It was assigned to this individual provider in the NPPES registry on April 11, 2015. The provider is also known as Eliza Caroline Fradkin.

Where is Eliza Desantis located?

Eliza Desantis practices at 833 Chestnut St Ste 1210, Philadelphia, PA 19107. The listed phone number is (215) 955-2074.

What is Eliza Desantis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Eliza Desantis enrolled in Medicare?

Yes. Eliza Desantis is registered in the Medicare PECOS enrollment system.

What insurance does Eliza Desantis accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Eliza 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 Eliza Desantis was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.