| Dr Jeffrey R Desanto, MD | |
|
350 W. Thomas Ave, Phoenix, AZ 85013 | |
| (602) 406-6281 | |
| Not Available |
| Full Name | Dr Jeffrey R Desanto |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 350 W. Thomas Ave, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992908586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036125321 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 125046527 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Rush University Medical Center | Chicago, IL | Hospital |
| Rush Oak Park Hospital | Oak park, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Rush University Medical Group | 5496658874 | 1134 |
| Central Illinois Radiological Associates Ltd | 9436061827 | 162 |
| Rush University Medical Group | 5496658874 | 1134 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Rush University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Entity Name | Integrated Imaging Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
| Entity Name | Cira Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972141513 PECOS PAC ID: 7113355264 Enrollment ID: O20211101000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey R Desanto, MD 11614 N 40th Pl, Phoenix, AZ 85028-2242 Ph: (309) 648-8207 | Dr Jeffrey R Desanto, MD 350 W. Thomas Ave, Phoenix, AZ 85013 Ph: (602) 406-6281 |
Donald A Tobias, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 97 Biltmore Est, Phoenix, AZ 85016 Phone: 602-956-3209 | |
Daniel Fosu, Radiology Medicare: Not Enrolled in Medicare Practice Location: 16220 N 7th St Apt 2136, Phoenix, AZ 85022 Phone: 480-469-0283 | |
Sanford Ornstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-4058 | |
Dr. Abhilash P Nambiar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4611 E Shea Blvd Ste 120, Phoenix, AZ 85028 Phone: 602-441-3845 | |
Dr. Tilina N. Hu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Radiology Department, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 | |
Alicia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Joel James Hayden, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 |