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Dr. Widdler Deshommes , MD

General Practice β€’ Mount Dora, FL

Active NPI 1376172015 Individual Practitioner Male Practitioner
Practice location in NPPES

4601 N Highway 19a
Mount Dora, FL 327572039

Call 3522908718 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4601 N Highway 19a

Mount Dora, FL 327572039

Telephone 3522908718
Organization at the Same NPPES Address or Phone
Fernhill Family Medicine Llc Facility NPI 1871641209

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Apopka, FL; Arecibo, PR; Mesa, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $48.51 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Deshommes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Deshommes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mount Dora and Florida

4 active clinicians are listed under General Practice with a practice address in Mount Dora, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $48.51.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
XARELTO General $48.51

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-08
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES FL ACN1610

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES PR 023661

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES PR 000229-P.A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES AZ 8363

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL TPPA363

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20240408001798

Enrollment State Jurisdiction

FL

PECOS Control ID

9739565169

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

4540 E Baseline Rd Ste 105

Mesa, AZ 852064616

Phone: 4802728944

425 S Hunt Club Blvd Ste 201

Apopka, FL 327032428

Phone: 4073049337

55 Calle Palma

Arecibo, PR 006124526

Phone: 7876501030

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Samuel Joseph , PA-C, MD

Physician Assistant

NPI 1588288203

Physician Assistant (Certified), Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location March 08, 2024

Registered at 4601 N HIGHWAY 19A, MOUNT DORA, FL 327572039 (Tel: 3522908718)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2024

General Practice (license number reported to NPPES: PR 023661)

πŸ“
Updated Practice Location February 06, 2024

Registered at 55 CALLE PALMA, ARECIBO, PR 006124526 (Tel: 7876501030)

πŸ‘€
Provider Name / Credentials Updated February 06, 2024

Recorded as WIDDLER DESHOMMES, MD

πŸ“
Updated Practice Location July 21, 2022

Registered at 4540 E BASELINE RD STE 105, MESA, AZ 852064616 (Tel: 4802728944)

πŸ‘€
Provider Name / Credentials Updated July 21, 2022

Recorded as WIDDLER DESHOMMES, PA-C

βœ…
NPI Profile Active April 04, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 04, 2020

Registered at 425 S HUNT CLUB BLVD STE 201, APOPKA, FL 327032428 (Tel: 4073049337)

πŸ“
Business Mailing Address (Initial Record) April 04, 2020

Registered at 550 ROUZER ST, APOPKA, FL 327123650 (Tel: 4075750943)

πŸ‘€
Provider Name / Credentials (Initial Record) April 04, 2020

Recorded as WIDDLER DESHOMMES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2020

Physician Assistant (license number reported to NPPES: PR 000229-P.A)

🟒
Initial NPI Registration & Enumeration April 04, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376172015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2020
Last Update: March 08, 2024
Sole Proprietor: No

Other General Practices in Mount Dora

Healthcare providers in Mount Dora

Mailing Address

550 Rouzer St

Apopka, FL 327123650

Phone: 4075750943

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.