Individual provider Active NPI

Dulaya Kanjana Santikul, D.O.

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1306959044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3592 Issued in AK
Practice address
275 E 200 S
Salt Lake City, UT 84111-2002
Phone
(800) 366-1884
Fax
(801) 487-8197
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3592 AK Primary

Addresses

Primary practice location

275 E 200 S
Salt Lake City, UT 84111-2002

Mailing address

71 Glen Rd
Yonkers, NY 10704-3617
Phone (914) 882-9971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100127000344 NY Practitioner - Emergency MedicinePractitioner - Family Practice 2567469851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aizer Health , IncGroup PAC ID 6406747989, 46 clinicians

Practice addresses (Care Compare)

49 Forest Rd
Monroe, NY 10950-2923

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.27 of 100Reported as group
Quality
83.84
Improvement activities
40
Cost
77.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Emergency Services PC CurrentSince Feb 9, 2012 Accepting new patients
Aizer Health , Inc. CurrentSince Mar 1, 2023 Accepting new patients
Sullivan Emergency Services PC CurrentSince Jul 23, 2023 Accepting new patients
Aizer Health , Inc. CurrentSince Mar 1, 2023 Accepting new patients

Locations

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

48 Bakertown Rd
Monroe, NY 10950
Phone (845) 774-1464

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

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 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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306959044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 GLEN RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043617",
            "telephone_number": "914-882-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E 200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112002",
            "telephone_number": "800-366-1884",
            "fax_number": "801-487-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIKUL",
        "first_name": "DULAYA",
        "middle_name": "KANJANA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.