Dr Mark Desantis, DO in Northport, NY - Medicare Diagnostic Radiology

Dr Mark Desantis, DO is a medicare enrolled "Radiology - Body Imaging" physician in Northport, New York. He graduated from medical school in 1993 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Riverside Medical Clinic Inc and his current practice location is 79 Middleville Rd, Northport, New York. You can reach out to his office (for appointments etc.) via phone at (631) 261-4400.

Dr Mark Desantis is licensed to practice in New Jersey (license number 25MB08021500) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053424192.

Contact Information

	Dr Mark Desantis, DO
	79 Middleville Rd, Northport, NY 11768
	(631) 261-4400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mark Desantis
Gender	Male
Speciality	Diagnostic Radiology
Experience	33 Years
Location	79 Middleville Rd, Northport, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark Desantis graduated from medical school in 1993

NPI Data:

NPI Number: 1053424192
Provider Enumeration Date: 08/15/2006
Last Update Date: 06/11/2026

Medicare PECOS Information:

PECOS PAC ID: 0244493807
Enrollment ID: I20251105001957

Medical Identifiers

Medical identifiers for Dr Mark Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053424192	NPI	-	NPPES
126125400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	25MB08021500 (New Jersey)	Primary
207U00000X	Nuclear Medicine	OS10292 (Florida)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	OS10292 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverside Medical Clinic Inc	2961492327	174

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Desantis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mark Desantis, DO 79 Middleville Rd, Northport, NY 11768-2200 Ph: (631) 261-4400	Dr Mark Desantis, DO 79 Middleville Rd, Northport, NY 11768 Ph: (631) 261-4400

Reviews and Comments

Radiology Doctors in Northport, NY

Nicholas R. Capece, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-266-6012
Eric Postal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Allenby Dr, Suite 3950, Northport, NY 11768 Phone: 952-595-1100
Dr. Steven Charles Carabell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Va Med. Ctr Dept. Of Radiation Oncology (114a), 79 Middleville Rd., Northport, NY 11768 Phone: 631-261-4400 Fax: 631-266-6072
Dr. Nandita Wadhwa, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Road, Veterans Administration Medical Center, Northport, NY 11768 Phone: 631-261-4400
Dr. Judy Y Wu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400

Dr Mark Desantis, DO - Medicare Diagnostic Radiology in Northport, NY