Individual provider Active NPI

Richard Dennis Santiago, MD

  • General Practice Physician
  • Zephyrhills, FL
National Provider Identifier
1164466876
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN928 Issued in FL
Practice address
37814 Medical Arts CT
Zephyrhills, FL 33541-4325
Phone
(813) 364-0792
Fax
(844) 388-6186
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16200 PR
General Practice Physician 208D00000X ACN928 FL Primary

Addresses

Primary practice location

37814 Medical Arts CT
Zephyrhills, FL 33541-4325

Mailing address

37814 Medical Arts CT
Zephyrhills, FL 33541-4325
Phone (813) 364-0792

Other practice location 1

Costa Sur Miramar street
F14
Yauco, PR 00698
Phone (787) 685-9127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171110001329 FL Practitioner - General Practice 3375719966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

13940 N US Hwy 441
Suite 102
Lady Lake, FL 32159-8909
Phone (352) 751-9900

National Provider Directory

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

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Oct 3, 2022 Accepting new patients
Largo Radiology Consultants, PA PastSince Nov 10, 2011 Accepting new patients

Locations

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

37814 Medical Arts Ct
Zephyrhills, FL 33541
Phone (813) 364-0792

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: richard.santiago@sl.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1164466876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37814 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414325",
            "telephone_number": "813-364-0792",
            "fax_number": "844-388-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37814 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414325",
            "telephone_number": "813-364-0792",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Costa Sur Miramar street",
            "address_2": "F14",
            "address_purpose": "LOCATION",
            "city": "Yauco",
            "state": "PR",
            "postal_code": "00698",
            "country_code": "US",
            "telephone_number": "787-685-9127",
            "fax_number": "787-856-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "RICHARD",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16200",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.