Active NPI
Joseph Desilets
- Anesthesiology Physician
- Joint Base Langley Eustis, VA
National Provider Identifier
1528453545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2017007163
- Practice address
- 633D Medical Group
77 Nealy Avenue
Joint Base Langley Eustis, VA 23665-2040 - Phone
- (757) 225-7630
- NPI assigned
- Apr 6, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2017007163 | MO | Primary |
Addresses
Primary practice location
633D Medical Group
77 Nealy Avenue
Joint Base Langley Eustis, VA 23665-2040
Mailing address
633D Medical Group
77 Nealy Avenue
Joint Base Langley Eustis, VA 23665-2040
Phone (757) 225-7630
Other practice location 1
633d Medical Group
77 Nealy Avenue
Joint Base Langley Eustis, VA 23665-2040
Phone (757) 225-7630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230614003589 | PA | Practitioner - Anesthesiology | 9032412713 | Reassigns benefits to 2 organizations |
| I20251006003612 | WV | Practitioner - Anesthesiology | 9032412713 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uniontown Anesthesia LLCFayette Physician Network Inc
Practice addresses (Care Compare)
500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-5000
Hospital & facility affiliations
- Uniontown Hospital
- Sentara Halifax Regional Hospital
- Upmc McKeesport Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017007163 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uniontown Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Fayette Physician Network Inc | Anesthesiology | Current | Accepting new patients |
| Fayette Physician Network Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia - South Charleston | Anesthesiology | Current | Accepting new patients |
Locations
500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000
201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Princeton, WV
- NPI 1063228120
Anesthesiology, WV
-
- Family Medicine Physician
- Friendsville, MD
- NPI 1437823044
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Boston, VA
- NPI 1588668842
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- McKeesport, PA
- NPI 1043703531
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1528453545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633D MEDICAL GROUP",
"address_2": "77 NEALY AVENUE",
"city": "JOINT BASE LANGLEY EUSTIS",
"state": "VA",
"postal_code": "236652040",
"telephone_number": "757-225-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633D MEDICAL GROUP",
"address_2": "77 NEALY AVENUE",
"city": "JOINT BASE LANGLEY EUSTIS",
"state": "VA",
"postal_code": "236652040",
"telephone_number": "757-225-7630"
}
],
"practiceLocations": [
{
"address_1": "633d Medical Group",
"address_2": "77 Nealy Avenue",
"address_purpose": "LOCATION",
"city": "Joint Base Langley Eustis",
"state": "VA",
"postal_code": "236652040",
"country_code": "US",
"telephone_number": "757-225-7630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESILETS",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2017007163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Langley Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.