Individual provider Active NPI

Steven D Descoteaux, M.D.

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1528090040
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160892 Issued in MA
Practice address
1130 Conroy LN Ste 150
Roseville, CA 95661-4154
Phone
(916) 580-6600
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X C168953 CA
Internal Medicine Physician 207R00000X 160892 MA Primary

Addresses

Primary practice location

1130 Conroy LN Ste 150
Roseville, CA 95661-4154

Mailing address

45 Bayberry Ave
Provincetown, MA 02657-1214
Phone (508) 246-2202

Other practice location 1

Saints Memorial Med Center
1 Hospital Drive
Lowell, MA 01853
Phone (978) 458-1411 ext. 4352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA2 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
I20150106000170 MA Practitioner - Internal Medicine 0749503456 Reassigns benefits to 1 organization
I20220429000486 VA Practitioner - Internal Medicine 0749503456

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160892MAMDInternal Medicine Physician
C168953CAMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts CurrentSince Oct 16, 2025 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 16, 2025 Accepting new patients

Locations

830 County Rd
Pocasset, MA 02559
Phone (508) 564-9600

60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1528090040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BAYBERRY AVE",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571214",
            "telephone_number": "508-246-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 CONROY LN STE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614154",
            "telephone_number": "916-580-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Saints Memorial Med Center",
            "address_2": "1 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "01853",
            "country_code": "US",
            "telephone_number": "978-458-1411 x4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESCOTEAUX",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "CA",
            "license": "C168953",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "160892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.