Mark Desantis, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA000273L Issued in PA

Practice address

118 Nature Park Rd Ste 300
Greensburg, PA 15601-6960

Phone

(724) 836-5540

Fax

(724) 836-5548

NPI assigned

Jul 14, 2005

Last updated

Dec 1, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdesantis131974@direct.ahn.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.

• Allegheny Clinic

  dba AHN-Primary Care Bethel Park

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment
• Allegheny Clinic

  dba AHN Westmoreland Gastroenterology

  • Gastroenterology Physician
  • Greensburg, PA
  • NPI 1144755794
  NPD
• Allegheny Clinic

  dba AHN Primary Care Mobile Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Excela Health Physician Practices, Inc.

  dba Walk-in Clinic

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1235004193
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1780682559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NATURE PARK RD STE 300",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016960",
            "telephone_number": "724-836-5540",
            "fax_number": "724-836-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NATURE PARK RD STE 300",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016960",
            "telephone_number": "724-836-5540",
            "fax_number": "724-836-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "MARK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA000273L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdesantis131974@direct.ahn.org",
            "affiliation": "N",
            "address_1": "118 Nature Park Rd Ste 300",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156016960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jake Anthony Depietro, LAPC
• Carrie Hartman Derdich, MOT, OTR/L
• Zoie Derkas, ATR-P, LAPC
• Dermatology Associates of Greensburg PC
• Linda Susan Desantis, PA-C
• Pamela Sue Desantis, MOTRL
• Kristen J Desarro, SLP
• Aniellio N/a Destefano, BA
• Anthony Arthur Detore, EDD
• Detrick & Kelly Chiropractic Clinic Inc (East Otterman Chiropractic)

• Medical Physician Assistant in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.