Individual provider Active NPI

Roberto H Lopez-Santini, M.D.

  • Internal Medicine Physician
  • Picayune, MS
National Provider Identifier
1316960867
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12062 Issued in MS
Practice address
906 Sixth Ave
Picayune, MS 39466-3802
Phone
(601) 798-7529
Fax
(601) 798-7553
NPI assigned
Jul 25, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12062 MS Primary

Addresses

Primary practice location

906 Sixth Ave
Picayune, MS 39466-3802

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Other identifiers 1

IdentifierTypeStateIssuer
00011176MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20061108000721 MS Practitioner - Internal Medicine 1951308709 Reassigns benefits to 2 organizations
Practice locations: Picayune, MS

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Mississippi, LLC Internal Medicine CurrentSince Oct 19, 2020 Accepting new patients
Ochsner Mississippi, LLC Internal Medicine CurrentSince Oct 19, 2020 Accepting new patients
Ochsner Mississippi, LLC Internal Medicine Current Accepting new patients
Hattiesburg Clinic PA CurrentSince Jun 26, 2023 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Jun 26, 2023 Accepting new patients
Hattiesburg Clinic, PA Past Accepting new patients

Locations

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

906 Sixth Ave
Picayune, MS 39466
Phone (601) 798-7529

Organizations & group practices 6

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1316960867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-264-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 SIXTH AVE",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663802",
            "telephone_number": "601-798-7529",
            "fax_number": "601-798-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-SANTINI",
        "first_name": "ROBERTO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "12062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011176",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.