Individual provider Active NPI

Maria Teresa M Santos, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1073653952
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
179905 Issued in NY
Practice address
260 East 161St St
Melrose on Track
Bronx, NY 10451-3512
Phone
(718) 993-3397
Fax
(718) 993-2460
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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 179905 NY Primary

Addresses

Primary practice location

260 East 161St St
Melrose on Track
Bronx, NY 10451-3512

Mailing address

1300 Morris Park Ave, Mazer 100
Albert Einstein College of Medicine
Bronx, NY 10461
Phone (718) 993-3397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040712000626 NY Practitioner - Family Practice 2062490402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Mar 30, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Mar 30, 2015 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2527 Glebe Ave
Bronx, NY 10461
Phone (718) 904-4400

260 E 161st St
Bronx, NY 10451
Phone (718) 993-3397

1764 Randall Ave
Bronx, NY 10473
Phone (718) 542-4100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1073653952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MORRIS PARK AVE, MAZER 100",
            "address_2": "ALBERT EINSTEIN COLLEGE OF MEDICINE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-993-3397",
            "fax_number": "718-993-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 EAST 161ST ST",
            "address_2": "MELROSE ON TRACK",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513512",
            "telephone_number": "718-993-3397",
            "fax_number": "718-993-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MARIA TERESA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "179905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.