Widdler Deshommes, MD
NPI 1376172015ActiveIndividual· General Practice· Mount Dora, FL
General Practice (MD) in Mount Dora, Florida, licensed in FL, PR and AZ, with an NPI issued in April 2020. Enrolled in Medicare as practitioner - general practice.
Overview
| NPI | 1376172015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 4, 2020 |
| Last updated in NPPES | Mar 8, 2024 |
| Certified by provider | Mar 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ACN1610 | FL |
| General Practice | 208D00000X | 023661 | PR |
| Physician Assistant | 363A00000X | 000229-P.A | PR |
| Physician Assistant | 363A00000X | 8363 | AZ |
| Physician Assistant | 363A00000X | TPPA363 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (FL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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