Active NPI
Lyric L. Santiago, MD
- Urology Physician
- Hilo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD11906
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD - 11906 | HI | MD | Specialist |
| MD11906 | HI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kau Hospital | Current | Accepting new patients | |
| Honokaa Hospital & Skilled Nursing | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Honokaa Hospital & Skilled Nursing | Current | 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
- 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.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Rural Health Clinic/Center
- Pahala, HI
- NPI 1144304338
-
- Critical Access Hospital
- Honokaa, HI
- NPI 1164506317
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Practice Physician
- Honokaa, HI
- NPI 1992398895
-
dba East Hawaii Health Clinic at Puna Kai
- Rural Health Clinic/Center
- Pahoa, HI
- NPI 1285450163
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Critical Access Hospital
- Pahala, HI
- NPI 1558441311
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.