DANIEL DESJARDINS (MD) – Family Medicine Physician, NPI 1407379159

DANIEL DESJARDINS (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 8101 (NE). The NPI Number for DANIEL DESJARDINS (MD) is 1407379159

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL DESJARDINS (MD)
NPI
1407379159
Phone
(402) 280-4318
Address
7710 Mercy Rd Ste 202
Enumeration Date
24 July 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7126472566
Graduation Year
2017 (9 years ago)
PAC ID
0042635161
Group Practice PAC ID
3678482130
Professional Enrollment ID
I20200806002838
Address ID
IA515791238WO518XXWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

953 FAMILY PRACTICE in NE

Provider Addresses for DANIEL DESJARDINS (MD)

  • 7710 Mercy Rd Ste 202

    Omaha, NE 681242353

    Phone: (402) 280-4318

    Type: Location

  • 518, Lincolnway Street, Woodbine, Harrison County, Iowa, 51579, United States

    WOODBINE, IA 515791238

    Phone: (712) 647-2566

    Fax: (712) 647-2964

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $622.

Total Amount is formed as General ($622) + Research ($0) + Ownership ($0) = $622.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($105).

Total Amount

$622

General + Research + Ownership

Payments

38

Total payment records

General Amount

$622

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

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: 2020-08-06

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
I20200806002838IFamily PracticeIATBD

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 68124)

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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: 3678482130View full group profile
NameSpecialtyState
Nurse PractitionerND
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeNE
Nurse PractitionerIA
General SurgeryIA
Physician AssistantIA
Emergency MedicineIA
Family PracticeNE
Family PracticeNE

Reviews

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Frequently asked questions

What federal number belongs to DANIEL DESJARDINS (MD)?
The federal identifier for DANIEL DESJARDINS (MD) is NPI 1407379159.
Is DANIEL DESJARDINS (MD) active in the national directory?
DANIEL DESJARDINS (MD)'s public NPI profile is in an active state.
Does DANIEL DESJARDINS (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DANIEL DESJARDINS (MD). Clinical services aligned with this taxonomy classification.
What location shows for DANIEL DESJARDINS (MD)?
We surface Omaha, Nebraska for DANIEL DESJARDINS (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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