Active NPI
Miquel Angel Santiago
- General Practice Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 7279
- Practice address
- 1845 Cherry St
Montgomery, AL 36107-2613 - Phone
- (334) 263-2301
- Fax
- (334) 263-0886
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 7279 | AL | Primary |
Addresses
Primary practice location
1845 Cherry St
Montgomery, AL 36107-2613
Mailing address
PO Box 70365
Montgomery, AL 36107-0365
Phone (334) 420-5001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51004314 | Other | AL | BCBS |
| P00192500 | Other | AL | RAILROAD |
| 630900003 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.43 of 100
- Quality
- 65.59
- Improvement activities
- 40
- Cost
- 64.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services Inc | Current | Accepting new patients | |
| Health Services, Inc | Current | Accepting new patients | |
| Health Services Inc | Current | Accepting new patients |
Locations
203 N Taylor St
Autaugaville, AL 36003
Phone (334) 263-2301
107 Medical Center Dr
Clanton, AL 35045
Phone (205) 280-1478
511 E Tuskeena St
Hayneville, AL 36040
Phone (334) 548-2516
3058 Mobile Hwy
Montgomery, AL 36108
Phone (334) 293-6670
3060 Mobile Hwy
Montgomery, AL 36108
Phone (334) 293-6400
Networks
- bcbs alabama network 01H0
- bcbs alabama network 01C0
- bcbs alabama network 01B0
- bcbs alabama network 01G0
- bcbs alabama network 01E0
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
dba Hayneville Family Health Center
- Federally Qualified Health Center (FQHC)
- Hayneville, AL
- NPI 1598788218
-
dba Autaugaville Family Health Center
- Federally Qualified Health Center (FQHC)
- Autaugaville, AL
- NPI 1992727853
-
dba Montgomery Primary Care
- Federally Qualified Health Center (FQHC)
- Montgomery, AL
- NPI 1528082336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1174547970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70365",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361070365",
"telephone_number": "334-420-5001",
"fax_number": "334-420-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 CHERRY ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361072613",
"telephone_number": "334-263-2301",
"fax_number": "334-263-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "MIQUEL",
"middle_name": "ANGEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "7279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51004314",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00192500",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630900003",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
- Isaiah Sankey, CRNP
- Lakesha Renee Sankey, MS
- Regina A Sankey, LCSW, MSW, PIP
- Robert Bruce Sansom, D.M.D
- Grace Santana, NP-C
- Sapphire Community Dialysis LLC
- Sapphire Home Health Care, LLC
- William O Sargeant, D.O.,P.C.
- Rehan Ajmal Sarmad, MD
- Sate of Alabama Dept of Finance (Al Dept of Human Resources)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.