Ruben E Santos, MD, SC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036117681 Issued in IL

Legal business name

RUBEN E SANTOS, MD, SC

Practice address

600 E 1St St
St Margaret'S Hospital
Spring Valley, IL 61362-1512

Phone

(815) 664-1470

Fax

(314) 849-6395

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric E Santos, M.D.NPI 1902010903

Title

Pathologist

Phone

(815) 664-1470

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Valley Pathology, S.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Spring Valley, IL
  • NPI 1194073288

  O20070926000767

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Eugene Santos, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Spring Valley, IL
  • NPI 1902010903
  NPD Authorized official
• Tushar C Padhya, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Merrillville, IN
  • NPI 1518099423
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1114110780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809059",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809059",
            "telephone_number": "888-843-8475",
            "fax_number": "314-849-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "address_2": "ST MARGARET'S HOSPITAL",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-1470",
            "fax_number": "314-849-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN E SANTOS, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "815-664-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036117681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1255382230",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "215550",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0431111",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360465101",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP NUMBER",
            "identifier": "1114110780",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "220001540",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prairieland Private Duty
• Catrese Regalado-Johnson
• River Valley Chiropractic
• Brad R Rogowski, DO
• Kayla Rokey, DNP-FNP
• Christopher Safranski, D.M.D.
• David Vincent Safranski, DMD
• Cynthia Salazar, APN
• Eric Eugene Santos, M.D.
• David J Schlagheck, MD

• Anatomic Pathology & Clinical Pathology Physician in Spring Valley, IL
• Providers in Spring Valley, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.