NPIMap

Individual provider Active NPI

Kenneth Michael Desart, M.D.

  • Vascular Surgery Physician
  • North Charleston, SC
National Provider Identifier
1154556603
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
83835 Issued in SC
Practice address
2575 Elms Center Rd Ste 200
North Charleston, SC 29406-9875
Phone
(843) 724-1950
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 83835 SC Primary

Addresses

Primary practice location

2575 Elms Center Rd Ste 200
North Charleston, SC 29406-9875

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 724-1950

Other identifiers 1

IdentifierTypeStateIssuer
838357MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200515002279 SC Practitioner - Vascular Surgery 9032352752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians

Practice addresses (Care Compare)

1033 Saint Andrews Blvd
Charleston, SC 29407-7156
Phone (843) 723-6111

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 789-1620

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal26
Leg revascularization (restoring blood flow)49
Removal of tissue38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83835SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper St. Francis Specialty Physicians Surgery CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network Surgery Current Accepting new patients
Roper Hospital, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 25, 2024 Accepting new patients
Roper Hospital, Inc. Current Accepting new patients
Roper Hospital Inc. CurrentSince Jun 1, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 25, 2024 Accepting new patients
Coastal Vascular and Vein Institute LLC Vascular Surgery PastSince Apr 16, 2023 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

2097 Henry Tecklenburg Dr
Ste 305W
Charleston, SC 29414
Phone (843) 724-1950

1033 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 534-1770

897 Von Kolnitz Rd
Ste 101
Mt Pleasant, SC 29464
Phone (843) 534-1770

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

9165 University Blvd
Ste 200
North Charleston, SC 29406
Phone (843) 724-1950

200 Callen Blvd
Ste 220
Summerville, SC 29486
Phone (843) 534-1770

841 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-1800

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: kdesart1251724@direct.bsmhealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1154556603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-724-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 ELMS CENTER RD STE 200",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069875",
            "telephone_number": "843-724-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESART",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "83835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "838357",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.