Active NPI
Krista I Santos, MD
- Pediatric Adolescent Medicine Physician
- Indianapolis, IN
National Provider Identifier
1194837575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 01060301
- Practice address
- 6920 Parkdale Place
Suite 109
Indianapolis, IN 46254 - Phone
- (317) 328-6800
- Fax
- (317) 328-6840
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 01060301 | IN | Primary |
Addresses
Primary practice location
6920 Parkdale Place
Suite 109
Indianapolis, IN 46254
Mailing address
6920 Parkdale Place
Suite 109
Indianapolis, IN 46254
Phone (317) 328-6800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000364651 | Other | ANTHEM | |
| 5628778 | Other | FIRST HEALTH | |
| 6185773002 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060301 | IN | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step by Step Pediatrics, LLC | Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- Indianapolis, IN
- NPI 1487787354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194837575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 PARKDALE PLACE",
"address_2": "SUITE 109",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46254",
"telephone_number": "317-328-6800",
"fax_number": "317-328-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6920 PARKDALE PLACE",
"address_2": "SUITE 109",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46254",
"telephone_number": "317-328-6800",
"fax_number": "317-328-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "KRISTA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "IN",
"license": "01060301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000364651",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5628778",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6185773002",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.