Roman Nicolas Santos, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

53465 Issued in MA

Practice address

69 Main St
Lakeville, MA 02347-3628

Phone

(508) 947-4400

Fax

(508) 946-1610

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Brighton Family Practice, Inc

  • Addiction Medicine (Family Medicine) Physician
  • Brighton, MA
  • NPI 1801804315
  NPD (past)
• Preventive Medicine Associates

  • Addiction Medicine (Family Medicine) Physician
  • Brookline, MA
  • NPI 1962451591
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1356450985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MAIN ST",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023473628",
            "telephone_number": "508-947-4400",
            "fax_number": "508-946-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MAIN ST",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023473628",
            "telephone_number": "508-947-4400",
            "fax_number": "508-946-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ROMAN",
        "middle_name": "NICOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "53465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008657",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rocha
• Nelia M. Rodelle, OPTICIAN
• Chase Rogers
• Lindsey Sahl, RN, BSN
• Katie Lyn Salinas, OTRL
• Lindsay Schiavone
• Aniya Scrubb
• Jessica Anne Marie Smith, M. ED.
• Sally Smith
• Southcoast Physicians Group, Inc.

• Family Medicine Physician in Lakeville, MA
• Providers in Lakeville, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.

Verify at the official NPI Registry.