KEVIN J DESANTIS (MD) – General Practice Physician, NPI 1255353595

KEVIN J DESANTIS (MD) is a healthcare provider. based in Port charlotte, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. ME58093 (FL). The NPI Number for KEVIN J DESANTIS (MD) is 1255353595

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN J DESANTIS (MD)
NPI
1255353595
Phone
(941) 624-2704
Address
2450 Tamiami Trl Ste A
Enumeration Date
24 July 2006
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9417877100
Graduation Year
1987 (39 years ago)
PAC ID
9335142637
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20070616000057
Address ID
FL339529207PO4130XTRLX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for KEVIN J DESANTIS (MD)

  • 2450 Tamiami Trl Ste A

    Port Charlotte, FL 339523922

    Phone: (941) 624-2704

    Fax: (941) 627-6066

    Type: Location

  • 5901, Southwest 74th Street, South Miami, Miami-Dade County, Florida, 33143, United States

    SUITE 202

    MIAMI, FL 331435165

    Phone: (305) 665-4614

    Type: Mailing

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

  • 1912 KINGS HWY UNIT 700

    PORT CHARLOTTE, FL 339804305

    Phone: (941) 255-0032

    Fax: (941) 391-5213

    Type: Location

  • Bayfront Health - Port Charlotte, 2500, Harbor Boulevard, Port Charlotte, Charlotte County, Florida, 33952, United States

    PORT CHARLOTTE, FL 339525000

    Phone: (305) 665-4614

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $593.

Total Amount is formed as General ($593) + Research ($0) + Ownership ($0) = $593.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($171).

Total Amount

$593

General + Research + Ownership

Payments

15

Total payment records

General Amount

$593

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-06-16

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
I20070616000057IEmergency MedicineFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes376365$0
99214Established patient office or other outpatient visit, 30-39 minutes355349$0
81003Automated urinalysis test138131$0
87804Detection test by immunoassay with direct visual observation for influenza virus13466$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus109106$0
View full utilization report →

Insurance plans in this area (ZIP 33952)

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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: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Does KEVIN J DESANTIS (MD) have a public NPI I can cite?
Public records show KEVIN J DESANTIS (MD) under NPI 1255353595.
Quick check: is KEVIN J DESANTIS (MD) active?
Public NPPES data shows KEVIN J DESANTIS (MD) with an active NPI status right now.
What services align with KEVIN J DESANTIS (MD)'s listing?
KEVIN J DESANTIS (MD)'s public classification highlights General Practice Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KEVIN J DESANTIS (MD)?
The directory associates KEVIN J DESANTIS (MD) with Port Charlotte, Florida. Check all listed addresses for suites or satellite offices.
Who maintains KEVIN J DESANTIS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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