Active NPI
Angela Christine Desantis, D.O.
- Obstetrics & Gynecology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- Q4087
- Practice address
- 2909 N I-35 Service Rd
Austin, TX 78722 - Phone
- (512) 478-4939
- NPI assigned
- Jul 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 125.059509 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | Q4087 | TX | Primary |
Addresses
Primary practice location
2909 N I-35 Service Rd
Austin, TX 78722
Mailing address
2909 N I-35 Service Rd
Austin, TX 78722
Phone (281) 813-8516
Other names 1
- Not Applicable Not Applicable
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1350
1213 24TH St
Suite 700
Anacortes, WA 98221-2595
Phone (360) 293-5142
Hospital & facility affiliations
- Island Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.059509 | IL | MD | Obstetrics & Gynecology Physician |
| Q4087 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People'S Community Clinic, Inc. | Current | Accepting new patients | |
| Obhg Texas Holdings, P.a. | Single Specialty | Current | Accepting new patients |
| Seton Family of Doctors | Single Specialty | Current | Accepting new patients |
| Peoples Community Clinic Inc | Single Specialty | Current | Accepting new patients |
| Public Hospital District No 2 Skagit County Washington | Single Specialty | Current | Accepting new patients |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Single Specialty | Current | Accepting new patients |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Past | Accepting new patients | |
| St. Davids Healthcare Partnership, L.P., LLP | Past | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Single Specialty | Past | Accepting new patients |
Locations
2909 N Interstate 35
Austin, TX 78722
Phone (512) 478-4939
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
10335 US Highway 290 E
Bldg 35
Manor, TX 78653
Phone (512) 478-4939
1213 24th St
Ste 700
Anacortes, WA 98221
Phone (360) 293-5142
2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101
Organizations & group practices 12
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.
-
- Rural Health Clinic/Center
- Lopez, WA
- NPI 1740203967
Single Specialty
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Manor, TX
- NPI 1083019905
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- Rural Health Clinic/Center
- Eastsound, WA
- NPI 1245827781
-
- Rural Acute Care Hospital
- Anacortes, WA
- NPI 1316182215
-
- Rural Health Clinic/Center
- Anacortes, WA
- NPI 1649284266
Single Specialty
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1164447850
Single Specialty
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1821376989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 N I-35 SERVICE RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78722",
"telephone_number": "281-813-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 N I-35 SERVICE RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78722",
"telephone_number": "512-478-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANTIS",
"first_name": "ANGELA",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-23",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "125.059509",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "Q4087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NOT APPLICABLE",
"last_name": "NOT APPLICABLE",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.