DR. YENENEH DESTA (MD) – Infectious Disease Physician, NPI 1447408562

DR. YENENEH DESTA (MD) is a healthcare provider. based in Ft myers, Florida. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME109103 (FL). The NPI Number for DR. YENENEH DESTA (MD) is 1447408562

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. YENENEH DESTA (MD)
NPI
1447408562
Phone
(239) 210-9980
Address
2125 Illinois Ave
Enumeration Date
3 September 2008
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636807000
Graduation Year
1999 (27 years ago)
PAC ID
3678744026
Group Practice PAC ID
1456258979
Professional Enrollment ID
I20110915000691
Address ID
FL338053019LA1600XBLVD400
Telehealth
Yes

Contacts

Secure Messaging
ydesta19011@direct.watsonclinicad.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

731 INFECTIOUS DISEASE in FL

Provider Addresses for DR. YENENEH DESTA (MD)

  • 2125 Illinois Ave

    Ft Myers, FL 339013505

    Phone: (239) 210-9980

    Fax: (239) 337-7549

    Type: Location

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053065

    Phone: (863) 680-7190

    Fax: (866) 264-8519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $727.

Total Amount is formed as General ($727) + Research ($0) + Ownership ($0) = $727.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($210).

Total Amount

$727

General + Research + Ownership

Payments

17

Total payment records

General Amount

$727

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2012-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110915000691IInfectious DiseaseFLTBD
I20121025000574IInfectious DiseaseGATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes868337$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes537256$0
99213Established patient office or other outpatient visit, 20-29 minutes410234$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes346314$0
97597Removal of tissue from wound, 20.0 sq cm or less16536$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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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: 1456258979View full group profile
NameSpecialtyState
Internal MedicineFL
A N E S T H E S I O L O G YFL
-FL
Physical Therapist In Private PracticeFL
Pulmonary Disease, Internal MedicineFL
-FL
Nurse PractitionerFL
Emergency MedicineFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. YENENEH DESTA (MD)?
DR. YENENEH DESTA (MD) — NPI 1447408562 — is the standard way to identify this listing.
Can I rely on DR. YENENEH DESTA (MD) being an active provider?
As of the registry snapshot, DR. YENENEH DESTA (MD) is marked active.
What is DR. YENENEH DESTA (MD)'s specialty?
The listing groups DR. YENENEH DESTA (MD) with Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where is DR. YENENEH DESTA (MD) based?
DR. YENENEH DESTA (MD) is tied to Ft Myers, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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