Individual provider Active NPI

Paul Michael Desrosiers, MD.

  • Pediatric Endocrinology Physician
  • Orlando, FL
National Provider Identifier
1073566840
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
ME25684 Issued in FL
Practice address
60 W Gore St
2ND Floor
Orlando, FL 32806-1114
Phone
(321) 841-3303
Fax
(321) 841-3305
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X ME25684 FL Primary

Addresses

Primary practice location

60 W Gore St
2ND Floor
Orlando, FL 32806-1114

Mailing address

60 W Gore St
2ND Floor
Orlando, FL 32806-1114
Phone (321) 841-3303

Other identifiers 3

IdentifierTypeStateIssuer
ME25684OtherFLMEDICAL LICENSE
47666OtherFLBCBS OF FL
069451700MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000968 FL Practitioner - Pediatric MedicinePractitioner - Endocrinology 1355434044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2011 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2011 Accepting new patients
Orlando Health Inc Pediatric Endocrinology Past Accepting new patients

Locations

89 W Copeland Dr
Fl 3
Orlando, FL 32806
Phone (321) 841-3040

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

60 W Gore St
Fl 2
Orlando, FL 32806
Phone (321) 841-3303

83 Columbia St
Orlando, FL 32806
Phone (321) 843-3220

60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338

Interoperability endpoints

  • Direct secure messaging: pdesrosiers25519@orlandohealth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1073566840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W GORE ST",
            "address_2": "2ND FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061114",
            "telephone_number": "321-841-3303",
            "fax_number": "321-841-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W GORE ST",
            "address_2": "2ND FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061114",
            "telephone_number": "321-841-3303",
            "fax_number": "321-841-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME25684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME25684",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "47666",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069451700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.