Individual provider Active NPI

Ramon Santiago, M.D.

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1013923713
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME00038490 Issued in FL
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

Updated by the provider on Jul 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03920OtherFLBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080303000745 FL Practitioner - Family Practice 6507940350 Reassigns benefits to 2 organizations

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
Apollo Medical Group PAGroup PAC ID 6103900931, 8 clinicians

Practice addresses (Care Compare)

13250 N 56TH St
Suite 101
Tampa, FL 33617-1165
Phone (813) 988-1984

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME00038490FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramon Santiago M D P a Family Medicine CurrentSince Apr 13, 2007 Accepting new patients
Apollo Medical Group PA CurrentSince Jun 3, 2024 Accepting new patients
Somashekar Pallegar M D P L Family Medicine PastSince Jul 19, 2014 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJGABA
  • FHIR API: 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.

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

Verify at the official NPI Registry.