Individual provider Active NPI

Kenneth F Desrosier, M.D.

  • Rheumatology Physician
  • San Antonio, TX
National Provider Identifier
1568447563
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M7946 Issued in TX
Practice address
8527 Village Dr
Suite 103
San Antonio, TX 78217-5513
Phone
(210) 590-9596
Fax
(210) 590-6227
NPI assigned
Dec 13, 2005
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME52995 FL
Rheumatology Physician 207RR0500X M7946 TX Primary

Addresses

Primary practice location

8527 Village Dr
Suite 103
San Antonio, TX 78217-5513

Mailing address

8527 Village Dr
Suite 103
San Antonio, TX 78217-5513
Phone (210) 590-9596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20080502000049 TX Practitioner - RheumatologyPractitioner - Internal Medicine 9032298062 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Solutions PLLCGroup PAC ID 6103014733, 3 clinicians

Practice addresses (Care Compare)

8930 Fourwinds Dr
Suite 100
Windcrest, TX 78239-1971
Phone (210) 590-9596

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.38 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME52995FLMDRheumatology Physician
M7946TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Solutions PLLC Rheumatology CurrentSince Jul 7, 2011 Accepting new patients

Locations

8527 Village Dr
Ste 103
San Antonio, TX 78217

8930 Fourwinds Dr
Ste 100
Windcrest, TX 78239
Phone (210) 590-5956

Interoperability endpoints

  • Direct secure messaging: kenneth.desrosier@direct.saacc.nextgenshare.com

Organizations & group practices 1

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 3

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1568447563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8527 VILLAGE DR",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175513",
            "telephone_number": "210-590-9596",
            "fax_number": "210-590-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8527 VILLAGE DR",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175513",
            "telephone_number": "210-590-9596",
            "fax_number": "210-590-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIER",
        "first_name": "KENNETH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME52995",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "M7946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.