Individual provider Active NPI

Christine A Ebert-Santos, MD

  • Pediatrics Physician
  • Frisco, CO
National Provider Identifier
1285746198
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0038349 Issued in CO
Practice address
730 N Summit Blvd
Ste 101
Frisco, CO 80443
Phone
(970) 668-1616
Fax
(970) 668-5650
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 38349 CO
Pediatrics Physician 208000000X 0038349 CO Primary

Addresses

Primary practice location

730 N Summit Blvd
Ste 101
Frisco, CO 80443

Mailing address

PO Box 4250
Frisco, CO 80443-4250
Phone (970) 668-1616

Other identifiers 2

IdentifierTypeStateIssuer
38284570MedicaidCO
62732862MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MP2 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
I20140314000750 CO Practitioner - Pediatric Medicine 6709017700 Reassigns benefits to 1 organization
I20260330000201 MP Practitioner - Pediatric Medicine 6709017700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Michigan Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christine Ebert Santos PCGroup PAC ID 7315178308, 2 clinicians

Practice addresses (Care Compare)

730 N Summit Blvd
Suite 101
Frisco, CO 80443-4250
Phone (970) 668-1616

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0038349COMDPediatrics Physician
38349COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Ebert Santos, PC Pediatrics CurrentSince Nov 13, 2013 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1285746198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4250",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804434250",
            "telephone_number": "970-668-1616",
            "fax_number": "970-668-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N SUMMIT BLVD",
            "address_2": "STE 101",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-668-1616",
            "fax_number": "970-668-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT-SANTOS",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "38349",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "0038349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38284570",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62732862",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.