Individual provider Active NPI

Marianne J Santioni, DO

  • Rheumatology Physician
  • Old Forge, PA
National Provider Identifier
1205868668
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS007763L Issued in PA
Practice address
821 S Main St
Suite 3
Old Forge, PA 18518-1431
Phone
(570) 457-0562
Fax
(570) 457-0603
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS007763L PA Primary

Addresses

Primary practice location

821 S Main St
Suite 3
Old Forge, PA 18518-1431

Mailing address

821 S Main St
Suite 3
Old Forge, PA 18518-1431
Phone (570) 457-0562

Other identifiers 1

IdentifierTypeStateIssuer
16104990001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050504000081 PA Practitioner - RheumatologyPractitioner - Internal Medicine 1254371826

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
22.94 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marianne J. Santioni, D.O., PC Rheumatology CurrentSince Jul 1, 1995 Accepting new patients

Locations

821 S Main St
Ste 3
Old Forge, PA 18518
Phone (570) 457-0562

810 S Main St
Taylor, PA 18517
Phone (570) 562-7713

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1205868668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181431",
            "telephone_number": "570-457-0562",
            "fax_number": "570-457-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181431",
            "telephone_number": "570-457-0562",
            "fax_number": "570-457-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIONI",
        "first_name": "MARIANNE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "OS007763L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16104990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Forge, PA

Sources for this page

Verify at the official NPI Registry.