Individual provider Active NPI

David Desantis, M.D., PH.D

  • Family Medicine Physician
  • Richmond, IN
National Provider Identifier
1467447748
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044050 Issued in IN
Practice address
2200 W Main St
Richmond, IN 47374-3882
Phone
(765) 973-9294
Fax
(765) 973-9233
NPI assigned
Sep 13, 2005
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.065370 OH
Family Medicine Physician 207Q00000X 01044050 IN Primary

Addresses

Primary practice location

2200 W Main St
Richmond, IN 47374-3882

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8860

Other practice location 1

1350 Chester Blvd Ste D
Richmond, IN 47374-1960
Phone (765) 935-8860

Other identifiers 6

IdentifierTypeStateIssuer
200043690AMedicaidIN
0943797MedicaidOH
P00875846OtherINMEDICARE RR
000000681665OtherINANTHEM
110144521OtherINMEDICARE RR
DEC36280OtherINCSHCS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddesantis301847@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080728000507 IN Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Hospitalist 1658478730 Reassigns benefits to 2 organizations
I20160429000959 OH Practitioner - Family Practice 1658478730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care, Hospitalist
Education
Wright State University Boonshoft School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Well Care Community Health IncGroup PAC ID 9335576131, 13 clinicians
Wayne Family Health Care, P.C.Group PAC ID 2961509039, 2 clinicians
Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians

Practice addresses (Care Compare)

100 Mattie Harris Rd
Centerville, IN 47330-1335
Phone (765) 855-3435

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

2200 W Main St
Richmond, IN 47374-3882
Phone (765) 973-9294

2390 National Rd W
Richmond, IN 47374-4625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044050INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Well Care Community Health, Inc. CurrentSince Feb 10, 2025 Accepting new patients
Wayne Family Health Care, P.C. Family Medicine CurrentSince Oct 1, 1996 Accepting new patients
Well Care Community Health, Inc. Family Medicine CurrentSince Feb 10, 2025 Accepting new patients
Indiana Hospitalists, PC Past Accepting new patients
Reid Hospital & Health Care Services Inc Family Medicine Past Accepting new patients

Locations

705 E Main St
Centerville, IN 47330
Phone (312) 477-1941

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

203 E Main St
Richmond, IN 47374
Phone (765) 973-9294

2200 W Main St
Richmond, IN 47374
Phone (765) 973-9294

Interoperability endpoints

  • Direct secure messaging: ddesantis301847@reidhealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1467447748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8860",
            "fax_number": "765-935-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743882",
            "telephone_number": "765-973-9294",
            "fax_number": "765-973-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Chester Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741960",
            "country_code": "US",
            "telephone_number": "765-935-8860",
            "fax_number": "765-935-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "DAVID",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.065370",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200043690A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0943797",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00875846",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000681665",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "110144521",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCS",
            "identifier": "DEC36280",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddesantis301847@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1350 Chester Blvd Ste D",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.