Active NPI
Carlos Soriano Santiago III, MD
- Interventional Pain Medicine Physician
- Cumberland, MD
National Provider Identifier
1306891148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- D0027107
- Practice address
- 940 Seton Dr
Suite a
Cumberland, MD 21502-1818 - Phone
- (301) 777-2543
- Fax
- (301) 777-2583
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | D0027107 | MD | Primary |
Addresses
Primary practice location
940 Seton Dr
Suite a
Cumberland, MD 21502-1818
Mailing address
11350 McCormick Rd
Executive Plaza 1, Suite 501
Hunt Valley, MD 21031-1002
Phone (301) 777-2543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100907000125 | WV | Practitioner - Anesthesiology | 0547169880 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0027107 | MD | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Carlos Santiago Interventional Pain Center | Past | Accepting new patients |
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.
-
- Pediatric Anesthesiology Physician
- Cumberland, MD
- NPI 1144434796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1306891148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD",
"address_2": "EXECUTIVE PLAZA 1, SUITE 501",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311002",
"telephone_number": "301-777-2543",
"fax_number": "301-777-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 SETON DR",
"address_2": "SUITE A",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215021818",
"telephone_number": "301-777-2543",
"fax_number": "301-777-2583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "CARLOS",
"middle_name": "SORIANO",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MD",
"license": "D0027107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.