Diana Marie Desantis, M.D.

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

DR.0031859 Issued in CO

Practice address

4875 Ward Road
Suite 600
Wheat Ridge, CO 80033

Phone

(303) 456-9456

Fax

(303) 463-7560

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Ophthalmology

Education

Baylor College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Children'S Eye Physicians P.C.Group PAC ID 5890686158, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddesantis22432@direct.childrenscolorado.org
• Direct secure messaging: diana.desantis.p1@direct.cepcolorado.nextgenshare.com

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.

• Children'S Eye Physicians P.C.

  • Ophthalmology Physician
  • Wheat Ridge, CO
  • NPI 1114962651
  Medicare reassignment Care Compare group NPD
• Children'S Eye Physicians P.C.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Boulder, CO
  • NPI 1336758184
  NPD
• Children'S Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535760000000",
    "number": "1952346249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 WARD ROAD",
            "address_2": "SUITE 600",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 WARD ROAD",
            "address_2": "SUITE 600",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "31859",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CO",
            "license": "DR.0031859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01318591",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1318591",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Anthony Depaolo III
• Gina M Depaulo
• Jenna Derosa, MA, LPC
• Louis Anthony Derose, DDS
• Tristen J Dervish, DC
• Jeffrey A Desjardin, MD
• Marielou Adela Desouza-Chen, M.S.P.T
• Sara Detweiler
• Valerie Cristin Devanney, M.D.
• Developmental Disabilities Resource Center

• Pediatric Ophthalmology and Strabismus Specialist Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; 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.