NPIMap

Individual provider Active NPI

Michael Desiderio

  • Cardiovascular Disease Physician
  • Morristown, NJ
National Provider Identifier
1720388143
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB09518300 Issued in NJ
Practice address
100 Madison Ave
Suite 2001
Morristown, NJ 07960-6136
Phone
(973) 682-2136
NPI assigned
Nov 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MB09518300 NJ Primary

Addresses

Primary practice location

100 Madison Ave
Suite 2001
Morristown, NJ 07960-6136

Mailing address

1752 Merriam Dr
Suite 2001
Martinsville, NJ 08836-2378

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.c.desiderio@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180719002737 PA Practitioner - Cardiovascular Disease (Cardiology) 6204106404 Reassigns benefits to 2 organizations
I20241230003240 WV Practitioner - Cardiac Surgery 6204106404 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association CurrentSince Oct 11, 2025 Accepting new patients
Susquehanna Physician Services Cardiovascular Disease CurrentSince Jul 1, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 20, 2024 Accepting new patients
Fayette Physician Network Inc Cardiovascular Disease CurrentSince Jul 23, 2024 Accepting new patients
Fayette Physician Network Inc CurrentSince Jul 23, 2024 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Mar 1, 2025 Accepting new patients
Princeton Community Hospital Assn., Inc. CurrentSince Mar 1, 2025 Accepting new patients
Princeton Community Hospital Assn Inc. Current Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 20, 2024 Accepting new patients
Community Health Association CurrentSince Oct 11, 2025 Accepting new patients
Susquehanna Physician Services CurrentSince Jul 1, 2018 Accepting new patients
Fayette Physician Network Inc Past Accepting new patients
Community Health Association Past Accepting new patients

Locations

100 Woodlawn Ave
Uniontown, PA 15401
Phone (724) 438-8765

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

100 Woodlawn Ave
Ste 2
Uniontown, PA 15401
Phone (724) 430-5600

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

740 High St
Ste 2001
Williamsport, PA 17701
Phone (570) 321-2805

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

186 Pinnell St
Ripley, WV 25271
Phone (304) 373-1546

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 11

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1720388143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 MERRIAM DR",
            "address_2": "SUITE 2001",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "address_2": "SUITE 2001",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-682-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIDERIO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB09518300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.c.desiderio@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.