NPIMap

Individual provider Active NPI

Steven Decesare, MD

  • Gynecologic Oncology Physician
  • Pensacola, FL
National Provider Identifier
1770535114
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME58930 Issued in FL
Practice address
1545 Airport Blvd
Pensacola, FL 32504-8615
Phone
(850) 416-7101
Fax
(850) 416-7103
NPI assigned
May 16, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME58930 FL
Gynecologic Oncology Physician 207VX0201X ME58930 FL Primary

Addresses

Primary practice location

1545 Airport Blvd
Pensacola, FL 32504-8615

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-7101

Other identifiers 1

IdentifierTypeStateIssuer
053491300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000302 FL Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 3274630033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, shared by 6 NPIs, 373 clinicians

Practice addresses (Care Compare)

1545 Airport Blvd
Suite 2000
Pensacola, FL 32504-8615
Phone (850) 416-6933

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME58930FLMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Aug 1, 2009 Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
Florida Clinical Practice Association Inc Obstetrics & Gynecology Past Accepting new patients
University Medical Service Association Inc Past Accepting new patients
Florida Medical Practice Plan Inc Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

1545 Airport Blvd
#2000
Pensacola, FL 32504
Phone (850) 416-6933

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

5153 N 9th Ave
Ste 205
Pensacola, FL 32504
Phone (850) 416-2550

5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250

Interoperability endpoints

  • Direct secure messaging: sdecesare@shhpens.direct.varian.com

Organizations & group practices 7

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 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1770535114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-416-7101",
            "fax_number": "850-416-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 AIRPORT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048615",
            "telephone_number": "850-416-7101",
            "fax_number": "850-416-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECESARE",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME58930",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME58930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053491300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.