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

Dr. Dennis Charles Desimone, DO

Individual provider Gynecologic Oncology Physician · NPI 1255599130

Dr. Dennis Charles Desimone, DO is an Obstetrics/Gynecology in Kingsport, Tennessee. Qualified in 2007, 19 years ago. Practices with Mountain States Health Alliance, a 23-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Tennessee.

Years since qualifying
19
Licensed in
CA, TN
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2202 N John B Dennis Hwy Ste 204
Kingsport, TN 37660-5904
Phone: (423) 245-1040
Fax: (423) 245-1869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 782 Medical Center Dr E Ste 212, Clovis, CA 93611-6889 — (559) 451-3676
  • 1 Professional Park Dr Ste 21, Johnson City, TN 37604-6909 — (423) 232-6900

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X · Licence 5369 (TN)
Gynecology Physician Taxonomy 207VG0400X · Licence 20A17849 (CA)
Gynecologic Oncology Physician Taxonomy 207VX0201X · Licence 20A17849 (CA)

Record details

NPI number1255599130
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 28, 2008
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mountain States Health Alliance — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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