Individual provider Active NPI

Lorenzo B Santarina III, MD

  • Nephrology Physician
  • Roanoke Rapids, NC
National Provider Identifier
1154373785
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
200100773 Issued in NC
Practice address
937 Gregory Drive
Roanoke Rapids, NC 27870
Phone
(252) 535-2111
Fax
(252) 535-1295
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 200100773 NC Primary

Addresses

Primary practice location

937 Gregory Drive
Roanoke Rapids, NC 27870

Mailing address

PO Box 220
Roanoke Rapids, NC 27870
Phone (252) 535-2111

Other identifiers 3

IdentifierTypeStateIssuer
129UGOtherBCBS NC
890265VMedicaidNC
89129UGMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100923000691 NC Practitioner - NephrologyPractitioner - Internal Medicine 4587760913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Hypertension-Nephrology Associates PAGroup PAC ID 7517063936, 2 clinicians

Practice addresses (Care Compare)

937 Gregory Dr
Roanoke Rapids, NC 27870-6420
Phone (252) 535-2111

Hospital & facility affiliations

  • FMC Bma of Roanoke Rapids Inc Dialysis facility, Roanoke Rapids, NC, CCN 342542
  • Fresenius Medical Care East Northampton County Dialysis facility, Conway, NC, CCN 342586
  • Ecu Health North Hospital Hospital, Roanoke Rapids, NC, CCN 340151
  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as individual
Quality
88.56
Promoting interoperability
0
Improvement activities
40
Cost
86.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200100773NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Hypertension-Nephrology Associates PA Nephrology CurrentSince Aug 1, 2001 Accepting new patients

Locations

937 Gregory Dr
Roanoke Rapids, NC 27870
Phone (252) 535-2111

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

Interoperability endpoints

  • Direct secure messaging: lorenzo.santarina@direct.valley.nchie.net

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 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1154373785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27870",
            "telephone_number": "252-535-2111",
            "fax_number": "252-535-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 GREGORY DRIVE",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27870",
            "telephone_number": "252-535-2111",
            "fax_number": "252-535-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTARINA",
        "first_name": "LORENZO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200100773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "129UG",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890265V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129UG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.