Dennis E Disantis, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

018138 Issued in GA

Practice address

2675 N Decatur Rd
Suite 506
Decatur, GA 30033-6131

Phone

(404) 299-1679

Fax

(404) 508-7694

NPI assigned

Jun 16, 2006

Last updated

Feb 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

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.

• Dekalb Gastroenterology Associates

  • Gastroenterology Physician
  • Decatur, GA
  • NPI 1508985425
  Medicare reassignment NPD
• Dekalb Gastroenterology Associates III, LLC

  dba Dekalb Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Decatur, GA
  • NPI 1497895676
  NPD
• Ahp of Dekalb LLC

  • Certified Registered Nurse Anesthetist
  • Decatur, GA
  • NPI 1215226097
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1437193513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 506",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-299-1679",
            "fax_number": "404-508-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 506",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-299-1679",
            "fax_number": "404-508-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTIS",
        "first_name": "DENNIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "018138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "582322161",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110162A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis McMurry Dilworth Jr., DDS
• Jane Ellen Dinerman, D.C.
• Weirong C Ding, MD
• Traci Dinnall
• Glory Dioh-Esona, DNP, NP-C, APRN
• Distinguished Journeys
• Diversified Family Solutions, LLC
• Divine Dwelling Services LLC
• Cecelia Dixie, M.S.W. - LCSW
• Andrew Alexander Dixon, M.D.

• Gastroenterology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.