Dr. Jeffrey Robert Desanto
Radiology (Diagnostic Radiology)

Address: 350 W. Thomas Ave, Phoenix, AZ 85013
Phone: 6024066281

Dr. Jeffrey Robert Desanto (NPI# 1992908586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1992908586
Entity Type Individual
Full Name Dr. Jeffrey Robert Desanto
Credential M.D.
Gender Male
Practice Address 350 W. Thomas Ave
Phoenix
AZ 85013
Practice Telephone 6024066281
Mailing Address 11614 N 40th Pl
Phoenix
AZ 85028-2242
Mailing Telephone 3096488207
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2007-06-09
Last Update Date 2010-06-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 125046527 IL

Physician Overview

NPI 1992908586
PAC ID by PECOS 8527131598
Professional Enrollment ID I20110110000388
Full Name Jeffrey R Desanto
Organization Legal Name INTEGRATED IMAGING CONSULTANTS LLC
Phone Number 8478031000
Gender M
Medical School UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 2003
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 2567784408
Number of Group Practice Members 152
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140208 ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER
140067 OSF SAINT FRANCIS MEDICAL CENTER
140250 ADVOCATE SOUTH SUBURBAN HOSPITAL
140119 RUSH UNIVERSITY MEDICAL CENTER
140110 OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 55%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 57%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 55%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 57%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649876806 Smi Imaging LLC Radiology 4045 E Bell Rd Ste 143, Phoenix, AZ 85032-2239 2020-12-11
1619573136 Smi Imaging LLC Radiology 2620 N 3rd St Ste 105, Phoenix, AZ 85004-1153 2020-12-09
1255937785 Smi Imaging LLC Radiology 5501 N 19th Ave Ste 111, Phoenix, AZ 85015-2451 2020-12-09
1811593338 Smi Imaging LLC Radiology 8921 W Thomas Rd Ste 101, Phoenix, AZ 85037-3244 2020-12-09
1659977130 Smi Imaging LLC Radiology 2502 E Camelback Rd Ste 167, Phoenix, AZ 85016-9316 2020-12-09
1831795756 Smi Imaging LLC Radiology 1110 E Missouri Ave Ste 410, Phoenix, AZ 85014-2704 2020-12-07
1932705878 Smi Imaging LLC Radiology 2141 E Camelback Rd Ste 110, Phoenix, AZ 85016-4723 2020-12-07
1851997761 Smi Imaging LLC Radiology 10240 W Indian School Rd Ste 145, Phoenix, AZ 85037-5907 2020-12-07
1598243867 Mdig of Florida, LLC Radiology 10835 N 25th Ave Ste 140, Phoenix, AZ 85029-3408 2018-07-30
1255870267 Smi Imaging, LLC Radiology 4219 E Bell Rd, Phoenix, AZ 85032-3366 2017-02-23
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Office Location

Street Address 350 W. THOMAS AVE
City PHOENIX
State AZ
Zip Code 85013

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043833700 Marco Antonio Valdez Espinoza Student in an Organized Health Care Education/Training Program 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 2020-05-28
1518588292 Santiago Garcia Ortiz Student in an Organized Health Care Education/Training Program 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 2020-05-04
1356811970 Lynne Shaunte Coleman Nurse Practitioner 3633 N 3rd Ave 2019, Phoenix, AZ 85013 2018-11-26
1467949156 Solterra 3rd Indian School Operations, LLC Assisted Living Facility 4000 N 3rd Avenue, Phoenix, AZ 85013 2018-04-18
1083018345 Romelda Antonio Nurse Practitioner 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 2014-10-15
1760890131 Emmitt Michael Thompson General Practice 822 West Earll Drive, Phoenix, AZ 85013 2014-07-29
1902218480 Sreeja Biswas Roy Internal Medicine 350 W Thomas Road, Phoenix, AZ 85013 2014-06-02
1417381120 Osama Qasim Agha Internal Medicine 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 2013-08-29
1245679604 Oculist Exceptional Eyewear Pllc Optometrist 5043-b N 7th Ave, Phoenix, AZ 85013 2013-06-19
1760829352 Gina Wilding Nurse Practitioner 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 2013-05-23
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Competitor

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City PHOENIX
Zip Code 85013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.