Active NPI
Richard Dennis Santiago, MD
- General Practice Physician
- Zephyrhills, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN928
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Current | Accepting new patients | |
| Largo Radiology Consultants, PA | Past | 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
- 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.
-
- Diagnostic Radiology Physician
- Largo, FL
- NPI 1104106582
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.