Christopher M Desanto, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

050285 Issued in CT

Practice address

505 Willard Ave
Newington, CT 06111-2650

Phone

(860) 666-5601

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christopher.desanto.npi1679530034.phpct@direct.optumcare.masshiway.net

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.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053

  Pediatrics

  Medicare reassignment NPD
• Lswhb LLC

  dba ETHOS Care

  • Behavioral Neurology & Neuropsychiatry Physician
  • Milford, OH
  • NPI 1407325939
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1679530034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112650",
            "telephone_number": "860-666-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112650",
            "telephone_number": "860-666-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTO",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "050285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02379179",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Demers, M.S., CCC-SLP
• David Denio, PHARMD
• Albert J Denuzzio, MD
• Department of Veteran Affairs
• Department of Veterans Affairs
• Alan Dewey, PT
• Robin Dexter, RN
• Diana Digiacomo-Canellas,LLC
• Digitrace Care Services, Inc.
• Melissa R Diloreto, APRN

• Pediatrics Physician in Newington, CT
• Providers in Newington, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.

Verify at the official NPI Registry.