DAVID DISANTIS (MD) – Diagnostic Radiology Physician, NPI 1124027933

DAVID DISANTIS (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. ME126367 (FL). The NPI Number for DAVID DISANTIS (MD) is 1124027933

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DAVID DISANTIS (MD)
NPI
1124027933
Phone
Not provided
Address
4500 SAN PABLO RD S
Enumeration Date
14 July 2005
Last Update Date
1 September 2020

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
9049532000
Graduation Year
1979 (47 years ago)
PAC ID
4587646088
Group Practice PAC ID
5698689297
Professional Enrollment ID
I20160405000623
Address ID
FL322241865JA4500XSXXX500

Contacts

Secure Messaging
ddisantis396402@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DAVID DISANTIS (MD)

  • San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160405000623IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml12,38574$0
74230Imaging for evaluation of swallowing function530500$0
74220Single contrast x-ray of esophagus389385$0
74221Double contrast x-ray of esophagus151151$0
74177Ct scan of abdomen and pelvis with contrast105105$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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Provider's Procedures

DAVID DISANTIS (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL71010X-ray of chest, 1 view, front12895

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698689297View full group profile
NameSpecialtyState
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
Orthopedic SurgeryFL
Internal MedicineFL
H O S P I T A L I S TFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Physician AssistantFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

How do payers reference DAVID DISANTIS (MD)?
For DAVID DISANTIS (MD), use NPI 1124027933 as the unique 10-digit identifier.
Is there an active status for DAVID DISANTIS (MD)?
For scheduling context, DAVID DISANTIS (MD) is shown as active in the registry.
What clinical focus is listed for DAVID DISANTIS (MD)?
At a glance, DAVID DISANTIS (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DAVID DISANTIS (MD)?
Travel planning: use Jacksonville, Florida as the reference point for DAVID DISANTIS (MD), then confirm.
Does DAVID DISANTIS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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