Individual provider Active NPI

Alexandra Santiago, DO

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1174938831
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9244 Issued in TX
Practice address
5850 Town and Country Blvd
Frisco, TX 75034-6942
Phone
(469) 731-8842
Fax
(469) 242-9749
NPI assigned
Jun 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q9244 TX Primary

Addresses

Primary practice location

5850 Town and Country Blvd
Frisco, TX 75034-6942

Mailing address

5850 Town and Country Blvd
Frisco, TX 75034-6942
Phone (469) 731-8842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 3, 2021 through Jun 3, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9244TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Healthcare, LLC CurrentSince Oct 1, 2021 Accepting new patients
Brighthealth Family Medicine & Wellness, PLLC CurrentSince May 16, 2021 Accepting new patients

Locations

8700 US Highway 380
Ste 300
Cross Roads, TX 76227
Phone (940) 365-7033

Organizations & group practices 2

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": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1174938831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 TOWN AND COUNTRY BLVD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346942",
            "telephone_number": "469-731-8842",
            "fax_number": "469-242-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 TOWN AND COUNTRY BLVD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346942",
            "telephone_number": "469-731-8842",
            "fax_number": "469-242-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ALEXANDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.