Individual provider Active NPI

Philip Santa-Emma, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1104867464
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
59004 Issued in OH
Practice address
1144 Dublin Rd
Columbus, OH 43215-1039
Phone
(614) 234-0200
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 59004 OH Primary

Addresses

Primary practice location

1144 Dublin Rd
Columbus, OH 43215-1039

Mailing address

7681 Kestrel Way W
Dublin, OH 43017-8256
Phone (614) 792-2893

Other identifiers 2

IdentifierTypeStateIssuer
080143171OtherOHRAILROAD MEDICARE PIN
0838697MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psantaemma85230@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110328000518 OH Practitioner - Hospice/Palliative CarePractitioner - Family Practice 3577746676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders Two LLCGroup PAC ID 6608828447, 222 clinicians

Practice addresses (Care Compare)

4101 Emerald Pkwy
Suite 200
Dublin, OH 43016-3323

4105 Emerald Pkwy
Dublin, OH 43016-3323
Phone (380) 898-9000

5300 N Meadows Dr
Grove City, OH 43123-2546

5300 N Meadows Dr Building
1 Suite 280
Grove City, OH 43123-2546
Phone (614) 627-2000

6001 E Broad St
Mount Carmel Palliative Care
Columbus, OH 43213-1502
Phone (614) 234-6000

PO Box
Suite 951603
Cleveland, OH 44193-0018

Hospital & facility affiliations

  • Mount Carmel Hospice Hospice, Columbus, OH, CCN 361520
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59004OHMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince Sep 1, 2020 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Sep 1, 2020 Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

6150 E Broad St
Rm WJ222
Columbus, OH 43213

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1104867464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7681 KESTREL WAY W",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178256",
            "telephone_number": "614-792-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151039",
            "telephone_number": "614-234-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA-EMMA",
        "first_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "59004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "080143171",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0838697",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psantaemma85230@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Direct Access",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1144 Dublin Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432151039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.