Kati Elizabeth Dessauer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32201 Issued in NC

Practice address

100 Ridge View Dr
Suite 105
Cary, NC 27511-5589

Phone

(919) 859-7044

Fax

(919) 859-7052

NPI assigned

Sep 23, 2005

Reactivated

Apr 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: katid@dkedm-nc.direct.office.nextgen.com

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.

• Amm Healthcare, PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1528639689
  Medicare reassignment NPD
• Jacksonville Children's and Multispecialty Clinic, PA

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1164519070
  Medicare reassignment NPD
• Family Care Clinic, P.a.

  • Clinic/Center
  • Jacksonville, NC
  • NPI 1316033590

  Family Medicine

  NPD (past)
• Wake Specialty Physicians LLC

  dba WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park

  • Pediatrics Physician
  • Fuquay Varina, NC
  • NPI 1578334892
  NPD (past)
• Wake Specialty Physicians, LLC

  • Surgery Physician
  • Raleigh, NC
  • NPI 1942440375

  Family Medicine

  NPD (past)
• Wellness Family Practice, P.a.

  • Non-Pharmacy Dispensing Site
  • Cary, NC
  • NPI 1659411635
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1306832563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR",
            "address_2": "SUITE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-859-7044",
            "fax_number": "919-859-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR",
            "address_2": "SUITE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-859-7044",
            "fax_number": "919-859-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSAUER",
        "first_name": "KATI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-02-02",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "32201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1092658",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C0514",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "25129",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1409466",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4352699",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58364",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaidehi S Desai, RPH
• Maria Desantis-Wilcox, PAC
• Jordan Desantis
• Colby Luise Deshields
• Michael Joseph Desimone
• Hilaire Desty
• Nazahe Z Desuse
• Marcia R Dettloff, O.D.
• Kristi Sue Devaul
• Devonza Nanette Deviner

• Family Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.