NPIMap

Individual provider Active NPI

Celestino David Santi, DO

  • Internal Medicine Physician
  • Tavares, FL
National Provider Identifier
1164427332
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS5229 Issued in FL
Practice address
2020 Nightingale LN
Tavares, FL 32778-4361
Phone
(352) 742-1500
Fax
(352) 742-9024
NPI assigned
Jun 15, 2005
Reactivated
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS5229 FL Primary

Addresses

Primary practice location

2020 Nightingale LN
Tavares, FL 32778-4361

Mailing address

2020 Nightingale LN
Tavares, FL 32778-4361
Phone (352) 742-1500

Other identifiers 1

IdentifierTypeStateIssuer
062412800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000628 FL Practitioner - Internal Medicine 9335197367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 E Burleigh Blvd
Tavares, FL 32778-4305
Phone (352) 742-1500

2020 Nightingale LN
Tavares, FL 32778-4361

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS5229FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Celestino Santi DO PA Internal Medicine CurrentSince Apr 2, 1987 Accepting new patients
Shreeven LLC CurrentSince May 1, 2023 Accepting new patients
Suntree Endocrinology Internal Medicine Current Accepting new patients
Viva Wellness & Injury, LLC Current Accepting new patients
Suntree Internal Medicine, LLC. Internal Medicine CurrentSince Feb 14, 2019 Accepting new patients
Express Care of Belleview, LLC Past Accepting new patients
Institute of Cardiovascular Excellence PLLC Internal Medicine Past Accepting new patients

Locations

701 E Oak St
Ste A
Kissimmee, FL 34744
Phone (407) 350-5075

6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500

7535 SW 62nd Ct
#200W
Ocala, FL 34476
Phone (352) 401-9888

1609 SW 17th St
Ocala, FL 34471
Phone (352) 401-9888

7780 Lake Underhill Rd
Ste 109
Orlando, FL 32822
Phone (407) 350-5075

1300 E Burleigh Blvd
Tavares, FL 32778
Phone (352) 742-1500

2020 Nightingale Ln
Tavares, FL 32778
Phone (352) 508-5254

1370 E Venice Ave
Ste 102
Venice, FL 34285

Organizations & group practices 7

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1164427332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NIGHTINGALE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784361",
            "telephone_number": "352-742-1500",
            "fax_number": "352-742-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NIGHTINGALE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784361",
            "telephone_number": "352-742-1500",
            "fax_number": "352-742-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTI",
        "first_name": "CELESTINO",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2011-09-23",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS5229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062412800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.