Doctor profile · Federal record
Dr. Mark Desantis, D.O.
Body Imaging Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Nuclear Medicine Physician · Northport, NY
- NPI 1053424192
- Accepts Medicare
- 33 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
79 Middleville RD
Northport, NY 11768
(631) 261-4400 - Additional location
-
3402 W Dr Martin Luther King JR Blvd
Tampa, FL 336076214
(813) 875-3950
fax (813) 872-2741
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- April 16, 2025
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 2085B0100X — NUCC code
- State licenses (2)
- New Jersey #25MB08021500 · Florida #OS10292
- Medicaid
- FL #126125400
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053424192. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PUMA BIOTECHNOLOGY, INC. | 1 | $20.04 |
By nature of payment
Frequently asked questions
What is Dr. Mark Desantis's medical specialty?
Dr. Mark Desantis practices Body Imaging Physician in Northport, NY.
Where does Dr. Mark Desantis practice?
Dr. Mark Desantis practices at 79 Middleville RD, Northport, NY 11768. Office phone: 6312614400.
What is Dr. Mark Desantis's NPI?
Dr. Mark Desantis's National Provider Identifier (NPI) is 1053424192, issued by NPPES.
Does Dr. Mark Desantis accept Medicare assignment?
Yes. Dr. Mark Desantis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.