NPIMap

Individual provider Active NPI

Genevieve Marie Santayana, DO

  • Family Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1235588278
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS020474 Issued in PA
Practice address
100 E Lancaster Ave Ste 556
Wynnewood, PA 19096-3435
Phone
(610) 896-7424
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS020474 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X 017067 PA

Addresses

Primary practice location

100 E Lancaster Ave Ste 556
Wynnewood, PA 19096-3435

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632

Other practice location 1

1200 Old York Road
GME Office
Abington, PA 19001
Phone (215) 481-2606

Other practice location 2

708 N Shady Retreat Rd Ste 5
Doylestown, PA 18901-2503
Phone (215) 348-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013002261 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 3274865746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 556 MLHC Geriatrics and Im Wynnewood
Wynnewood, PA 19096-3435
Phone (610) 896-7424

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017067PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates CurrentSince Oct 15, 2020 Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Via Affiliates Current Accepting new patients
Via Affiliates CurrentSince Oct 15, 2020 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

708 N Shady Retreat Rd
Ste 5
Doylestown, PA 18901
Phone (215) 348-5888

14 Memorial Dr
Ste B
Doylestown, PA 18901
Phone (215) 345-6050

777 Ferry Rd
Doylestown, PA 18901
Phone (215) 345-9000

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

100 E Lancaster Ave
Ste 556
Wynnewood, PA 19096
Phone (610) 649-6980

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1235588278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-337-1632",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 556",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963435",
            "telephone_number": "610-896-7424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old York Road",
            "address_2": "GME Office",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "19001",
            "country_code": "US",
            "telephone_number": "215-481-2606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 N Shady Retreat Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189012503",
            "country_code": "US",
            "telephone_number": "215-348-5888",
            "fax_number": "215-348-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTAYANA",
        "first_name": "GENEVIEVE MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020474",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "017067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.