ROBERTO DESARDEN (MD) – Emergency Medicine Physician, NPI 1184296618

ROBERTO DESARDEN (MD) is a healthcare provider. based in Grand blanc, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4351047694 (MI). The NPI Number for ROBERTO DESARDEN (MD) is 1184296618

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTO DESARDEN (MD)
NPI
1184296618
Phone
(813) 777-0316
Address
7106 PRIMROSE LN
Enumeration Date
14 July 2021
Last Update Date
14 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318767200
Graduation Year
2021 (5 years ago)
PAC ID
7214332279
Group Practice PAC ID
4082069232
Professional Enrollment ID
I20240313002083
Address ID
MI496012331CA400XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for ROBERTO DESARDEN (MD)

  • 7106 PRIMROSE LN

    GRAND BLANC, MI 48439

    Phone: (813) 777-0316

    Type: Mailing

  • 1 GENESYS PKWY

    GRAND BLANC, MI 484398065

    Phone: (810) 606-5000

    Type: Location

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: 2025-07-07

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
I20240313002083IEmergency MedicineMITBD
I20250707000599IEmergency MedicineNCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48439)

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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: 4082069232View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

How do payers reference ROBERTO DESARDEN (MD)?
For ROBERTO DESARDEN (MD), use NPI 1184296618 as the unique 10-digit identifier.
Is ROBERTO DESARDEN (MD) shown as active in public data?
Registry records indicate ROBERTO DESARDEN (MD) maintains an active NPI.
What area of care is associated with ROBERTO DESARDEN (MD)?
ROBERTO DESARDEN (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ROBERTO DESARDEN (MD) associated with Grand Blanc?
Public fields place ROBERTO DESARDEN (MD) around Grand Blanc, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ROBERTO DESARDEN (MD) is noted as July 14, 2021 where the registry provides it.

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