Michael Christopher Desantis

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9800233 Issued in NC

Legal business name

MICHAEL CHRISTOPHER DESANTIS

Practice address

608 46TH Avenue Dr NE
Hickory, NC 28601-7318

Phone

(828) 320-2972

Fax

(828) 465-0811

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Christopher Desantis, MDNPI 1780610394

Title

Partner

Phone

(828) 304-6363

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Christopher Desantis, M.D.

  • Family Medicine Physician
  • Hickory, NC
  • NPI 1780610394
  Medicare reassignment Care Compare group NPD Authorized official
• Morgan Edwards Gibbons, PA-C

  • Physician Assistant
  • Hickory, NC
  • NPI 1083274575
  Medicare reassignment Care Compare group
• Joel C. Kunze, P.A.

  • Physician Assistant
  • Hickory, NC
  • NPI 1265418586
  Medicare reassignment Care Compare group
• David Alan Lowry, MD

  • Internal Medicine Physician
  • Lenoir, NC
  • NPI 1023014339
  NPD (past)
• Nancy Andrews, NP

  • Primary Care Nurse Practitioner
  • Monroe, LA
  • NPI 1730297201
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1891809893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 46TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017318",
            "telephone_number": "828-304-6363",
            "fax_number": "828-304-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 46TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017318",
            "telephone_number": "828-320-2972",
            "fax_number": "828-465-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CHRISTOPHER DESANTIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "828-304-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9800233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1190C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-1190C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC4226",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Merta
• Bradley Richard Mescher, PA-C
• Metro Home Care of North Carolina Inc
• Metro Treatment of North Carolina, LP
• Metro Treatment of North Carolina, LP
• Michael R. Sigmon, OD, PLLC
• Michelle Walsh
• Brooke April Michelsen, LCSW
• Paula Wilson Micol, L.M.B.T
• Srinivas Sai Mikkilineni, M.D.

• Family Medicine Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.