NPIMap

Individual provider Active NPI

Reynaldo Santos, MD

  • Anesthesiology Physician
  • Fairless Hills, PA
National Provider Identifier
1083640148
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD036585E Issued in PA
Practice address
333 N Oxford Valley Rd
Suite 510
Fairless Hills, PA 19030-2624
Phone
(215) 785-0145
Fax
(215) 785-0161
NPI assigned
Jun 23, 2006
Last updated
Mar 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD036585E PA Primary
Anesthesiology Physician 207L00000X 25MA04092200 NJ

Addresses

Primary practice location

333 N Oxford Valley Rd
Suite 510
Fairless Hills, PA 19030-2624

Mailing address

333 N Oxford Valley Rd
Ste 510
Fairless Hills, PA 19030-2629
Phone (215) 785-0145

Other identifiers 16

IdentifierTypeStateIssuer
1939471OtherPAFIRST HEALTH NETWORK
2350852000OtherPAAMERIHEALTH
1676378OtherPAPERSONAL CHOICE
22-1994560OtherNJUNITED HEALTHCARE/OXFORD
SA1676378OtherPAHIGHMARK TRAD. IND
22-1994560OtherPAHEALTH AMERICA/HEALTH ASSURANCE
4187349OtherPACIGNA
22-1994560OtherPAFIRST MCO
70685OtherNJPA BLUE SHIELD
22-1994560OtherPAUNITED HEALTHCARE/OXFORD
22-1994560OtherPAGREAT WEST HEALTHCARE
2350852000OtherPAKEYSTONE HEALTH PLAN EAST
22-1994560OtherNJFIRST MCO
22-1994560OtherPAPROCURA MANAGEMENT
1676378OtherPAPA BLUE SHIELD
P00236558OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04092200NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ismael B. Nacino MD Inc Anesthesiology Past Accepting new patients
Clinical Pain Management Associates, PC Past Accepting new patients
Hamilton Anesthesia Associates, PC Anesthesiology Past Accepting new patients
Delaware Valley Family Eye Care PC PastSince May 12, 2020 Accepting new patients
Trenton Anesthesiology Associates PA Anesthesiology Past Accepting new patients
California Anesthesia Specialist AMC Anesthesiology Past Accepting new patients
Panmed Anesthesia Services Inc Anesthesiology Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
Advanced Gastroenterology Associates, LLC PastSince Jul 13, 2009 Accepting new patients
Desert Valley Medical Group, Inc Past Accepting new patients

Organizations & group practices 10

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1083640148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "STE 510",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302629",
            "telephone_number": "215-785-0145",
            "fax_number": "215-785-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "SUITE 510",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-785-0145",
            "fax_number": "215-785-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "REYNALDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD036585E",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA04092200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "1939471",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2350852000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "1676378",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE/OXFORD",
            "identifier": "22-1994560",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK TRAD. IND",
            "identifier": "SA1676378",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4187349",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MCO",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "70685",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE/OXFORD",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2350852000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MCO",
            "identifier": "22-1994560",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROCURA MANAGEMENT",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "1676378",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00236558",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

Verify at the official NPI Registry.