Jeffrey Thomas Desano II, D.O.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

5101021136 Issued in MI

Practice address

5807 W Maple Rd Ste 177
West Bloomfield, MI 48322-4483

Phone

(248) 865-6400

Fax

(248) 865-6404

NPI assigned

Jun 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Plastic and Reconstructive Surgery

Education

Chicago College of Medicine and Surgery, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdesano1125042@direct.hfhs.org

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.

• West Maple Plastic Surgery PLLC

  • Plastic Surgery Physician
  • West Bloomfield, MI
  • NPI 1578445698
  Medicare reassignment NPD Authorized official
• Mune Gowda MD PLLC

  • Specialist
  • Novi, MI
  • NPI 1033347646
  Medicare reassignment NPD
• Daniel D Sherbert MD

  • Plastic Surgery Physician
  • West Bloomfield, MI
  • NPI 1114051935
  NPD (past)
• Raymond T. Hajjar, D.O. and Christopher Lumley, D.O., P.C.

  • Plastic Surgery Physician
  • Bingham Farms, MI
  • NPI 1679763288
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1891108759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD STE 177",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224483",
            "telephone_number": "248-865-6400",
            "fax_number": "248-865-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD STE 177",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224483",
            "telephone_number": "248-865-6400",
            "fax_number": "248-865-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANO",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101021136",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "5101021136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sue Deraud, MSW
• Katie Derkacz, CCC-SLP
• Amy Philomena Derosa, D.O.
• Piyush K. Desai, M.D.
• Lindsey Desana
• Marjorie Gail Deschner, OTR/L
• Desert Bloom Counseling PLLC
• Stephen Patrick Desilva, MD
• Detroit Medical Center Sinai Grace Hospital
• Susan Deutsch, M.S.W.

• Plastic Surgery Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.