Lourdes Teresa Santiago, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

ME97611 Issued in FL

Practice address

1305 S Fort Harrison Ave
BLDG C
Clearwater, FL 33756-3301

Phone

(727) 483-9188

Fax

(727) 412-8432

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Colorectal Surgery (Proctology)

Education

Ponce School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: lsantiago@ltsmdpa-fl.direct.office.nextgen.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JGIICD/Endpoint/JGIICD

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.

• Lourdes T Santiago M.D.P.a.

  • Clinic/Center
  • Clearwater, FL
  • NPI 1265821094
  Medicare reassignment NPD Authorized official
• Tampa Bay Surgical Group, LLP

  • Surgery Physician
  • Tampa, FL
  • NPI 1831308949
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galen of Florida, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1518911031
  Care Compare affiliation
• Largo Medical Center, Inc.

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1063630259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1336",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337571336",
            "telephone_number": "727-483-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S FORT HARRISON AVE",
            "address_2": "BLDG C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563301",
            "telephone_number": "727-483-9188",
            "fax_number": "727-412-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "LOURDES",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME97611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazaro Esteban Santana Bubaire, DDS
• Jose Ramon Santana, M.D.
• Barbara Y Santelices
• Dimarco Santiago
• Karmivis Santiago, LMHC
• Loriann Santino, PA
• Ann M Santoro, MA LMHC
• Generosa Santos
• Melissa Santos
• Anne Sapp, AGPCNP-BC

• Colon & Rectal Surgery Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Colon & Rectal Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.

Verify at the official NPI Registry.