Individual provider Active NPI

Abigail Ceniza Santos, M.D.

  • Infectious Disease Physician
  • Bowling Green, KY
National Provider Identifier
1245680032
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
55048 Issued in KY
Practice address
720 2ND Ave Ste 307
Bowling Green, KY 42101-1718
Phone
(270) 780-2760
Fax
(270) 780-2761
NPI assigned
Jun 13, 2016
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X 55048 KY Primary

Addresses

Primary practice location

720 2ND Ave Ste 307
Bowling Green, KY 42101-1718

Mailing address

720 2ND Ave Ste 307
Bowling Green, KY 42101-1718
Phone (270) 780-2760

Other practice location 1

600 S Paulina St Ste 140-143
Chicago, IL 60612-3806
Phone (312) 942-5865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210726001028 KY Practitioner - Infectious DiseasePractitioner - Internal Medicine 2062748791
I20251203004501 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 2062748791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Center of New Jersey, LLCGroup PAC ID 9638177900, 12 clinicians

Practice addresses (Care Compare)

568 Route 10
Whippany, NJ 07981-1516
Phone (973) 535-8355

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Jul 26, 2021 Accepting new patients
Commonwealth Health Corporation, Inc. Infectious Disease CurrentSince Jul 26, 2021 Accepting new patients
Infectious Disease Center of New Jersey, LLC CurrentSince Jan 1, 2026 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

720 2nd Ave
Ste 307
Bowling Green, KY 42101

22 Old Short Hills Rd
Ste 106
Livingston, NJ 07039
Phone (973) 400-9040

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

568 State Route 10
Whippany, NJ 07981
Phone (973) 535-8355

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1245680032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 2ND AVE STE 307",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011718",
            "telephone_number": "270-780-2760",
            "fax_number": "270-780-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 2ND AVE STE 307",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011718",
            "telephone_number": "270-780-2760",
            "fax_number": "270-780-2761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Paulina St Ste 140-143",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123806",
            "country_code": "US",
            "telephone_number": "312-942-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ABIGAIL",
        "middle_name": "CENIZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "55048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.