Individual provider Active NPI

Angela Christine Desantis, D.O.

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1821376989
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
Q4087 Issued in TX
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

Updated by the provider on Apr 16, 2020

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 125.059509 IL
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160105002751 TX Practitioner - Obstetrics/Gynecology 5395047526 Reassigns benefits to 3 organizations
I20250627003041 WA Practitioner - Obstetrics/Gynecology 5395047526 Reassigns benefits to 1 organization

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
Public Hospital District No 2 Skagit County WashingtonGroup PAC ID 1153225198, 77 clinicians

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 Hospital, Anacortes, WA, CCN 500007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.059509ILMDObstetrics & Gynecology Physician
Q4087TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Community Clinic, Inc. CurrentSince Apr 6, 2020 Accepting new patients
Obhg Texas Holdings, P.a. Single Specialty CurrentSince Nov 27, 2019 Accepting new patients
Seton Family of Doctors Single Specialty CurrentSince Jun 29, 2025 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 CurrentSince Jul 1, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Jun 29, 2025 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 CurrentSince Jul 1, 2025 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.