A.DESROSIERS III, M.D., CORP — NPI 1790161172 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1790161172

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208200000X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery

Box 32 Service Location & ZIP+4

6705 S RED ROAD, SUITE 516, CORAL GABLES, FL, 33143

Official NPPES Practice Location

Practice Phone & Referral Fax

(305) 403-2922

Fax: (305) 517-3130

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790161172 (A.DESROSIERS III, M.D., CORP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1790161172` (NPI-2 Organization / Facility)
Provider / Legal Name	A.DESROSIERS III, M.D., CORP
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: `208200000X` (Plastic Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6705 S RED ROAD, SUITE 516, CORAL GABLES, FL, 33143
Practice Telephone / Fax	Tel: (305) 403-2922 \| Fax: (305) 517-3130
Administrative Mailing Address	6705 S RED ROAD, CORAL GABLES, FL, 33143
Enumeration & Last Sync	Enumerated: 2015-08-07 \| CMS Record Updated: 2015-08-07
Authorized Official	ARTHUR DESROSIERS (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6705 S RED ROAD, SUITE 516, CORAL GABLES, FL, 33143

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Plain-English Taxonomy & CMS Crosswalk (208200000X)

What Does Taxonomy Code 208200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 24 (Physician/Plastic and Reconstructive Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Plastic Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A.DESROSIERS III, M.D., CORP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`204E00000X` — Oral & Maxillofacial Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery	State: FL \| License: `ME110935` \| Primary: Secondary
`2082S0105X` — Plastic Surgery, Surgery of the Hand Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Surgery of the Hand	State: FL \| License: `ME110935` \| Primary: Secondary
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: FL \| License: `ME110935` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A.DESROSIERS III, M.D., CORP (NPI #1790161172)