Active NPI
Steven D Descoteaux, M.D.
- Internal Medicine Physician
- Roseville, CA
National Provider Identifier
1528090040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 160892
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160892 | MA | MD | Internal Medicine Physician |
| C168953 | CA | MD | Addiction Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | 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.
-
- Psychiatric Hospital
- Pocasset, MA
- NPI 1851477491
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.