Active NPI
Roberto De Los Santos, DPM
- Podiatrist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 3090
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213E00000X | Other | TX | TAXONOMY CODE |
| 2961806229 | Other | TX | PECOS PAC ID |
| 450684 | Other | CMS CERTIFICATION NUMBER MEMORIAL HERMAN NORTHEAST | |
| 427303902 | Medicaid | TX | |
| I20210809001539 | Other | TX | PECOS ENROLLMENT ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Bypass LN
Suite 110
Livingston, TX 77351-7380
Phone (936) 327-4400
Hospital & facility affiliations
- Pinard Home Health Inc
- HCA Houston Healthcare Kingwood
- HCA Houston Healthcare Northwest
- Memorial Hermann Northeast Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 263 |
| Removal of skin lesions | 27 |
| Removal of nail tissue | 449 |
| Removal or shaving of skin growth | 143 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3090 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Center of North Houston P a | Single Specialty | Current | 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
- https://fhir.meditouchehr.com/api/fhir/r4/
- robertodelossantos@faaconhpa-tx.direct.office.nextgen.com
- 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.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- Home Health Agency
- Spring, TX
- NPI 1053452441
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.