Desmond Fonji, D.O

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS13298 Issued in FL

Practice address

801 Wellness Way Ste 200
Sebastian, FL 32958-3783

Phone

(772) 581-5581

Fax

(772) 581-5781

NPI assigned

Mar 22, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

General Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Indian River Health Services Inc

  dba Behavioral Health Center

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1710933031
  Medicare reassignment Care Compare group NPD
• Indian River Health Services Inc

  • Urgent Care Clinic/Center
  • Vero Beach, FL
  • NPI 1720319809
  NPD
• Indian River Health Services Inc

  • Internal Medicine Physician
  • Vero Beach, FL
  • NPI 1124074455
  NPD (past)
• Indian River Memorial Hospital, Inc.

  dba Behavioral Health Center at Indian River Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Vero Beach, FL
  • NPI 1801062310
  NPD (past)

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

• Indian River Memorial Hospital Inc

  dba Cleveland Clinic Indian River Hospital

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1629009972
  Care Compare affiliation
• Ohsrh, LLC

  dba Orlando Health Sebastian River Hospital

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307
  Care Compare affiliation

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1285976720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CLINT MOORE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872800",
            "telephone_number": "561-642-1000",
            "fax_number": "561-802-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WELLNESS WAY STE 200",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583783",
            "telephone_number": "772-581-5581",
            "fax_number": "772-581-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONJI",
        "first_name": "DESMOND",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS13298",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Cancer Specialists & Research Institute, LLC
• Florida Cancer Specialists P L (Florida Cancer Specialists)
• Florida Em-I Medical Services PA
• Florida Pain Management Associates PA.
• Carlo Daniel Fodor, O.D.
• Serenity Brooke Ford, PHARM.D.
• Amanda Nicole Forget, MS OTR/L, CLT
• Christine Marie Foster, DDS
• Amanda K France, CRNA
• Courtney Carroll Frazier, ARNP

• General Practice Physician in Sebastian, FL
• Providers in Sebastian, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.

Verify at the official NPI Registry.