Individual provider Active NPI

Luis A Santos, M.D.

  • Pediatric Gastroenterology Physician
  • El Paso, TX
National Provider Identifier
1275532863
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
J8116 Issued in TX
Practice address
125 W Hague Rd Ste 360
El Paso, TX 79902-5818
Phone
(915) 533-2600
Fax
(915) 533-2605
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X J8116 TX Primary

Addresses

Primary practice location

125 W Hague Rd Ste 360
El Paso, TX 79902-5818

Mailing address

125 W Hague Rd Ste 360
El Paso, TX 79902-5818
Phone (915) 533-2600

Other identifiers 1

IdentifierTypeStateIssuer
089830602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050726000638 TX Practitioner - Pediatric MedicinePractitioner - Gastroenterology 0749217255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Gastroenterology
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 577-6011

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8116TXMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Sep 23, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Sep 23, 2019 Accepting new patients
Major Hospital Past Accepting new patients
SMM,LLC Pediatric Gastroenterology Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

125 W Hague Rd
Ste 360
El Paso, TX 79902
Phone (915) 533-2600

125 W Hague Rd
#240
El Paso, TX 79902
Phone (915) 577-1380

125 W Hague Rd
Ste 400
El Paso, TX 79902
Phone (915) 225-2455

2204 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 271-4570

125 W Hague Rd
Ste 180
El Paso, TX 79902
Phone (915) 317-1660

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: luis.santos.1@1438.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1275532863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD STE 360",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025818",
            "telephone_number": "915-533-2600",
            "fax_number": "915-533-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD STE 360",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025818",
            "telephone_number": "915-533-2600",
            "fax_number": "915-533-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "J8116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089830602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.