Active NPI
Anthony John Desmarais II, D.O.
- Family Medicine Physician
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS16681
- Practice address
- 2771 Brownwood Blvd
The Villages, FL 32163-2005 - Phone
- (352) 750-8220
- NPI assigned
- Apr 26, 2017
- Last updated
- Nov 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OT017644 | PA | |
| Family Medicine Physician | 207Q00000X | OS019901 | PA | |
| Family Medicine Physician | 207Q00000X | OS16681 | FL | Primary |
Addresses
Primary practice location
2771 Brownwood Blvd
The Villages, FL 32163-2005
Mailing address
1503 Buenos Aires Blvd Ste 110
Lady Lake, FL 32159-6825
Phone (352) 750-8220
Other practice location 1
1503 Buenos Aires Blvd Ste 110
Lady Lake, FL 32159-6825
Phone (352) 750-8220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services IncLegacy Healthcare Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378
1503 Buenos Aires Blvd
Suite 110
The Villages, FL 32159-6825
Phone (352) 205-4302
1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971
2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378
5036 SE 110TH St
Belleview, FL 34420-3759
Phone (352) 693-3378
8768 SE 165TH Mulberry LN
The Villages, FL 32162-5861
Phone (352) 329-5237
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS019901 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivers Family Medicine PA | Family Medicine | Current | Accepting new patients |
Locations
1503 Buenos Aires Blvd
Ste 110
The Villages, FL 32159
Phone (352) 205-4302
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IADBAA/Endpoint/IADBAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- The Villages, FL
- NPI 1821211335
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- The Villages, FL
- NPI 1134153836
-
- Home Health Agency
- Lady Lake, FL
- NPI 1609924265
-
dba Concierge Home Care
- Home Health Agency
- The Villages, FL
- NPI 1942238506
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
dba Health Central
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
dba Express Care
- Urgent Care Clinic/Center
- Ocoee, FL
- NPI 1780022616
Hospital
-
- Home Health Agency
- The Villages, FL
- NPI 1982933321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1073048138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 BUENOS AIRES BLVD STE 110",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321596825",
"telephone_number": "352-750-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2771 BROWNWOOD BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321632005",
"telephone_number": "352-750-8220"
}
],
"practiceLocations": [
{
"address_1": "1503 Buenos Aires Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Lady Lake",
"state": "FL",
"postal_code": "321596825",
"country_code": "US",
"telephone_number": "352-750-8220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESMARAIS",
"first_name": "ANTHONY",
"middle_name": "JOHN",
"name_suffix": "II",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT017644",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS019901",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS16681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.