Individual provider Active NPI

Michael Orlando Santandreu, MD

  • Obstetrics & Gynecology Physician
  • Manhasset, NY
National Provider Identifier
1346744463
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
317284 Issued in NY
Practice address
1615 Northern Blvd Ste 106
Manhasset, NY 11030-3033
Phone
(516) 365-2500
Fax
(516) 365-4980
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 317284 NY Primary

Addresses

Primary practice location

1615 Northern Blvd Ste 106
Manhasset, NY 11030-3033

Mailing address

900 Merchants Concourse Ste 216
Westbury, NY 11590-5114
Phone (516) 226-8373

Other practice location 1

24 Old Homestead Rd
Albertson, NY 11507-1535
Phone (516) 641-7954

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
I20220707002325 NY Practitioner - Obstetrics/Gynecology 0345594800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Square Care Medical Group LLPGroup PAC ID 7012938434, 70 clinicians

Practice addresses (Care Compare)

1615 Northern Blvd
Suite 106
Manhasset, NY 11030-3033
Phone (516) 482-7666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.62 of 100Reported as group
Quality
88.76
Promoting interoperability
100
Improvement activities
40
Cost
69.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317284NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Square Care Medical Group, LLP Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
North Shore-Lij Medical PC Obstetrics & Gynecology PastSince Jul 1, 2022 Accepting new patients

Locations

1615 Northern Blvd
Ste 106
Manhasset, NY 11030
Phone (516) 365-2500

1615 Northern Blvd
Ste 102
Manhasset, NY 11030
Phone (516) 487-2745

191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144

900 Merchants Concourse
Ste 216
Westbury, NY 11590
Phone (516) 565-6322

Interoperability endpoints

  • Direct secure messaging: michael.santandreu.1@15987.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15987/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 2

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1346744463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MERCHANTS CONCOURSE STE 216",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905114",
            "telephone_number": "516-226-8373",
            "fax_number": "515-622-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 NORTHERN BLVD STE 106",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303033",
            "telephone_number": "516-365-2500",
            "fax_number": "516-365-4980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Old Homestead Rd",
            "address_purpose": "LOCATION",
            "city": "Albertson",
            "state": "NY",
            "postal_code": "115071535",
            "country_code": "US",
            "telephone_number": "516-641-7954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANDREU",
        "first_name": "MICHAEL",
        "middle_name": "ORLANDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "317284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.