Individual provider Active NPI

Janice Desanto, MD

  • Neonatal-Perinatal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1194707265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
35065491 Issued in OH
Practice address
8091 Township Line Rd
St. Vincent Women'S Hospital, Suite 207 Mob
Indianapolis, IN 46260-2494
Phone
(317) 415-7921
Fax
(317) 415-7922
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 35065491 OH Primary

Addresses

Primary practice location

8091 Township Line Rd
St. Vincent Women'S Hospital, Suite 207 Mob
Indianapolis, IN 46260-2494

Mailing address

8091 Township Line Rd
St. Vincent Women'S Hospital, Suite 207 Mob
Indianapolis, IN 46260-2494
Phone (317) 415-7921

Other identifiers 1

IdentifierTypeStateIssuer
0940521MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35065491OHMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194707265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8091 TOWNSHIP LINE RD",
            "address_2": "ST. VINCENT WOMEN'S HOSPITAL, SUITE 207 MOB",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602494",
            "telephone_number": "317-415-7921",
            "fax_number": "317-415-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8091 TOWNSHIP LINE RD",
            "address_2": "ST. VINCENT WOMEN'S HOSPITAL, SUITE 207 MOB",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602494",
            "telephone_number": "317-415-7921",
            "fax_number": "317-415-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTO",
        "first_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OH",
            "license": "35065491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.