Active NPI
Juan Antonio Santamaria, MD
- Surgical Oncology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 32613
- Practice address
- 111 N 175TH St
Omaha, NE 68118-3579 - Phone
- (402) 559-5600
- NPI assigned
- Jul 16, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Q9021 | TX | |
| Surgical Oncology Physician | 2086X0206X | 32613 | NE | Primary |
Addresses
Primary practice location
111 N 175TH St
Omaha, NE 68118-3579
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 N 175TH St
Unmc Physicians Village Pointe Cancer Cente
Omaha, NE 68118-3579
Phone (402) 596-5600
Hospital & facility affiliations
- The Nebraska Medical Center
- Bellevue Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 40 |
| Melanoma (skin cancer) excision | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q9021 | TX | MD | Surgery Physician |
| 32613 | NE | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Haysam Akkad, MD, PC | Past | Accepting new patients |
Locations
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
111 N 175th St
Omaha, NE 68118
Phone (402) 559-8363
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
505 S 45th St
Omaha, NE 68198
Phone (402) 559-0900
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Lancaster, CA
- NPI 1982863783
-
- Interventional Cardiology Physician
- Omaha, NE
- NPI 1023258795
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1134474141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 175TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681183579",
"telephone_number": "402-559-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTAMARIA",
"first_name": "JUAN",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-16",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "Q9021",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NE",
"license": "32613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.