Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel B Desiderio, MD

Individual provider Emergency Medicine Physician · NPI 1841788916

Daniel B Desiderio, MD is an Emergency Medicine in Lewiston, Maine. Qualified in 2018, 8 years ago. Practices with St Marys Regional Medical Center, a 194-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine and New Hampshire.

Years since qualifying
8
Licensed in
ME, NH
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

93 Campus Ave
Lewiston, ME 04240-6030
Phone: (207) 777-8120
Fax: (207) 777-8984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 791 Turner St Unit 2, Auburn, ME 04210-6314 — (207) 330-3900
  • 80 Highland St, Laconia, NH 03246-3235 — (603) 524-3211

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD25780 (ME)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 21523 (NH)

Record details

NPI number1841788916
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing addressPo Box 95000 Lbx 7650, Philadelphia, PA 19195-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Marys Regional Medical Center — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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