Active NPI
Ramon Santiago, M.D.
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME00038490
- Practice address
- 13250 N 56TH St
Suite 101
Tampa, FL 33617-2238 - Phone
- (813) 988-1984
- Fax
- (813) 988-0240
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME00038490 | FL | Primary |
Addresses
Primary practice location
13250 N 56TH St
Suite 101
Tampa, FL 33617-2238
Mailing address
13250 N 56TH St
Suite 101
Tampa, FL 33617-2238
Phone (813) 988-1984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03920 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13250 N 56TH St
Suite 101
Tampa, FL 33617-1165
Phone (813) 988-1984
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME00038490 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramon Santiago M D P a | Family Medicine | Current | Accepting new patients |
| Apollo Medical Group PA | Current | Accepting new patients | |
| Somashekar Pallegar M D P L | Family Medicine | Past | Accepting new patients |
| Frederick Malibiran DO PA | Family Medicine | Past | Accepting new patients |
Locations
1811 Bayshore Gardens Pkwy
Bradenton, FL 34207
Phone (941) 755-9550
13250 N 56th St
Ste 101
Temple Terrace, FL 33617
Phone (813) 988-1984
3535 Little Rd
Trinity, FL 34655
Phone (727) 375-0848
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJGABA
- https://fhir4.healow.com/fhir/r4/GJGABA/Endpoint/GJGABA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Family Medicine Physician
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- NPI 1598940561
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1811083405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1013923713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13250 N 56TH ST",
"address_2": "SUITE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336172238",
"telephone_number": "813-988-1984",
"fax_number": "813-988-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13250 N 56TH ST",
"address_2": "SUITE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336172238",
"telephone_number": "813-988-1984",
"fax_number": "813-988-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "RAMON",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME00038490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "03920",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.