Raymond Charles Decesare II, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD067457L Issued in PA

Practice address

521 Mt Pleasant Dr
Suite 101
Scranton, PA 18503-1987

Phone

(570) 346-7338

Fax

(570) 341-3025

NPI assigned

Jan 25, 2006

Last updated

Aug 15, 2013By the provider in NPPES

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 PA, AL, NY3 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 3

Specialty

Obstetrics/Gynecology

Education

Pennsylvania State University College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Our Lady of Lourdes Memorial Hospital IncGroup PAC ID 1254237779, 249 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdecesare172378@direct-guthrie.org

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.

• Our Lady of Lourdes Memorial Hospital Inc.

  dba Lourdes

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1629087580
  Medicare reassignment Care Compare group NPD
• Scranton Quincy Clinic Company LLC

  dba Physicians Health Alliance

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1508143074
  Medicare reassignment NPD
• OBGYN Hospitalist Medical Services of New York, P.C.

  • Obstetrics & Gynecology Physician
  • Niskayuna, NY
  • NPI 1518285055
  Medicare reassignment NPD
• Obhg Pennsylvania PC

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1184124109

  PA

  Medicare reassignment NPD
• University of South Alabama

  dba USA Student Health Center

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992746838
  Medicare reassignment NPD
• Womens OBGYN PC

  • Obstetrics & Gynecology Physician
  • Johnson City, NY
  • NPI 1083079198
  Medicare reassignment NPD
• Obstetrical-Gynecological Associates of the Southern Tier, P.C.

  • Obstetrics & Gynecology Physician
  • Endicott, NY
  • NPI 1760433361
  NPD
• Our Lady of Lourdes Memorial Hospital, Inc.

  dba Lourdes

  • Family Medicine Physician
  • Binghamton, NY
  • NPI 1063557189

  Obstetrics & Gynecology

  NPD
• Our Lady of Lourdes Memorial Hospital, Inc.

  • Specialty Pharmacy
  • Johnson City, NY
  • NPI 1730982596
  NPD
• University of South Alabama

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1497859052
  NPD
• University of South Alabama

  dba USA Health

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1700241015

  Obstetrics & Gynecology

  NPD
• USA Health Physician Billing Services LLC

  dba USA Mitchell Cancer Institute

  • Radiation Oncology Physician
  • Mobile, AL
  • NPI 1871150508
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Our Lady of Lourdes Memorial Hospital Inc.

  dba Lourdes

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1629087580
  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1720058597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MT PLEASANT DR",
            "address_2": "SUITE 101",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031987",
            "telephone_number": "570-346-7338",
            "fax_number": "570-341-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MT PLEASANT DR",
            "address_2": "SUITE 101",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031987",
            "telephone_number": "570-346-7338",
            "fax_number": "570-341-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECESARE",
        "first_name": "RAYMOND",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD067457L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017521800008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis J De la Vera Vargas
• Dorothy Ann Dean, LPC
• Ashley M. Deangelo, CRNP
• Patricia Debon
• Decent Home Care LLC
• Michelle Decicco, PA-C
• Charles S Deck, M.D.
• Mary Louise Susan Decker, MD
• Champak M Dedhia, M.D.
• Christopher J Defrancesco, PHARMD., RPH

• Obstetrics & Gynecology Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.

Verify at the official NPI Registry.