Individual provider Active NPI

Renan R Santos, MD

  • Anesthesiology Physician
  • Laredo, TX
National Provider Identifier
1073557385
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G9212 Issued in TX
Practice address
10700 McPherson Ave
Laredo, TX 78045-6268
Phone
(956) 523-2112
NPI assigned
Jun 16, 2006
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G9212 TX Primary

Addresses

Primary practice location

10700 McPherson Ave
Laredo, TX 78045-6268

Mailing address

PO Box 3719
Laredo, TX 78044-3719

Other identifiers 2

IdentifierTypeStateIssuer
1262172-02MedicaidTX
126217207MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070625000542 TX Practitioner - Anesthesiology 1153420666 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ams PLLC Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Apr 1, 2012 Accepting new patients
Lopez Anesthesia PA Anesthesiology Past Accepting new patients
Anesthesia Healthcare Partners of Laredo, P. a. Anesthesiology Past Accepting new patients

Locations

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

1700 E Saunders St
#378
Laredo, TX 78041
Phone (956) 796-2660

230 Calle del Norte
Laredo, TX 78041
Phone (956) 693-5000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1073557385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3719",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780443719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MCPHERSON AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456268",
            "telephone_number": "956-523-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "RENAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "G9212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1262172-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126217207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.