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

Vincent Paul Desantis, MD

Individual provider Internal Medicine Physician · NPI 1972063741

Vincent Paul Desantis, MD is an Internal Medicine in Bristol, Connecticut. Qualified in 2019, 7 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2019
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

15 Riverside Ave
Bristol, CT 06010-6312
Phone: (860) 516-7593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 71105 (CT)

Record details

NPI number1972063741
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address167 Main St, Southington, CT 06489-2505

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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