Individual provider Active NPI

Lyric L. Santiago, MD

  • Urology Physician
  • Hilo, HI
National Provider Identifier
1114968476
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD11906 Issued in HI
Practice address
75 Puuhonu PL
Suite 100
Hilo, HI 96720
Phone
(808) 969-1000
Fax
(808) 969-1020
NPI assigned
Jun 9, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD - 11906 HI
Urology Physician 208800000X MD11906 HI Primary

Addresses

Primary practice location

75 Puuhonu PL
Suite 100
Hilo, HI 96720

Mailing address

75 Puuhonu PL
Suite 100
Hilo, HI 96720
Phone (808) 969-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20071119000356 HI Practitioner - Urology 1557466851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians
Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

1285 Waianuenue Ave
Hilo, HI 96720-1209
Phone (808) 432-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD - 11906HIMDSpecialist
MD11906HIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Aug 1, 2020 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince May 17, 2021 Accepting new patients
Hilo Benioff Medical Center CurrentSince Oct 1, 2007 Accepting new patients
Kau Hospital CurrentSince Aug 1, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince Oct 1, 2007 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince May 17, 2021 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1285 Waianuenue Ave
Fl 2
Hilo, HI 96720
Phone (808) 932-3940

75 Puuhonu Pl
Ste 100
Hilo, HI 96720
Phone (808) 932-3940

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211

Networks

  • HI PPO

Interoperability endpoints

  • Direct secure messaging: lsantiago21365@hhsc.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1200009600000",
    "number": "1114968476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PUUHONU PL",
            "address_2": "SUITE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-969-1000",
            "fax_number": "808-969-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PUUHONU PL",
            "address_2": "SUITE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-969-1000",
            "fax_number": "808-969-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "LYRIC",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD - 11906",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "HI",
            "license": "MD11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.