Individual provider Active NPI

Roberto De Los Santos, DPM

  • Podiatrist
  • Houston, TX
National Provider Identifier
1124518402
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3090 Issued in TX
Practice address
17215 Red Oak Dr Ste 102
Houston, TX 77090-2611
Phone
(281) 444-4114
Fax
(281) 444-7789
NPI assigned
May 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 3090 TX Primary

Addresses

Primary practice location

17215 Red Oak Dr Ste 102
Houston, TX 77090-2611

Mailing address

17215 Red Oak Dr Ste 102
Houston, TX 77090-2611
Phone (281) 444-4114

Other practice location 1

211 S College Ave
Cleveland, TX 77327-4503
Phone (281) 592-5779

Other practice location 2

425 Holderrieth Blvd Ste 100
Tomball, TX 77375-4551
Phone (281) 444-4114

Other identifiers 5

IdentifierTypeStateIssuer
213E00000XOtherTXTAXONOMY CODE
2961806229OtherTXPECOS PAC ID
450684OtherCMS CERTIFICATION NUMBER MEMORIAL HERMAN NORTHEAST
427303902MedicaidTX
I20210809001539OtherTXPECOS ENROLLMENT ID

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL footandanklecenter.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809001539 TX Practitioner - Podiatry 2961806229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Center of North Houston P aGroup PAC ID 7214995729, 10 clinicians

Practice addresses (Care Compare)

400 Bypass LN
Suite 110
Livingston, TX 77351-7380
Phone (936) 327-4400

Hospital & facility affiliations

  • Pinard Home Health Inc Home health agency, Spring, TX, CCN 673185
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue263
Removal of skin lesions27
Removal of nail tissue449
Removal or shaving of skin growth143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3090TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center of North Houston P a Single Specialty CurrentSince Jul 1, 2021 Accepting new patients

Locations

211 S College Ave
Cleveland, TX 77327
Phone (281) 592-5779

17215 Red Oak Dr
Ste 102
Houston, TX 77090
Phone (281) 444-4114

8901 FM 1960 Bypass Rd W
Ste 305
Humble, TX 77338
Phone (281) 446-7773

17903 W Lake Houston Pkwy
Ste 104
Humble, TX 77346
Phone (281) 883-4849

400 Bypass Ln
Ste 110
Livingston, TX 77352
Phone (936) 252-1147

17450 St Lukes Way
Ste 190
The Woodlands, TX 77384
Phone (936) 231-8500

425 Holderrieth Blvd
Ste 100
Tomball, TX 77375
Phone (281) 351-8866

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: robertodelossantos@faaconhpa-tx.direct.office.nextgen.com
  • Direct secure messaging: roberto.de.los.santos.1@19643.direct.athenahealth.com

Organizations & group practices 1

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": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124518402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 RED OAK DR STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902611",
            "telephone_number": "281-444-4114",
            "fax_number": "281-444-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 RED OAK DR STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902611",
            "telephone_number": "281-444-4114",
            "fax_number": "281-444-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TX",
            "postal_code": "773274503",
            "country_code": "US",
            "telephone_number": "281-592-5779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Holderrieth Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773754551",
            "country_code": "US",
            "telephone_number": "281-444-4114",
            "fax_number": "281-444-7789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "213E00000X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PECOS PAC ID",
            "identifier": "2961806229",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER MEMORIAL HERMAN NORTHEAST",
            "identifier": "450684",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427303902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PECOS ENROLLMENT ID",
            "identifier": "I20210809001539",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "footandanklecenter.net",
            "affiliation": "N",
            "address_1": "17215 Red Oak Dr Ste 102",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770902611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.