NPIMap

Individual provider Active NPI

Sadashiv Santosh, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1366653891
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
69065 Issued in WI
Practice address
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003
Phone
(314) 362-5060
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 69065 WI Primary
Internal Medicine Physician 207R00000X 2006029624 MO

Addresses

Primary practice location

1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003

Mailing address

4949 W Pine Blvd
Apartment 7L
Saint Louis, MO 63108-1431
Phone (314) 361-0897

Other identifiers 2

IdentifierTypeStateIssuer
100263006MedicaidWI
100077549MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130123000418 MO Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Nephrology 5799938833 Reassigns benefits to 1 organization
I20180813000025 WI Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5799938833 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 646-5410

975 Port Washington Rd
Grafton, WI 53024-9201
Phone (414) 507-4741

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006029624MOMDInternal Medicine Physician
69065WIMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Sep 23, 2023 Accepting new patients
Midwest Critical Care SC Critical Care Medicine CurrentSince Mar 27, 2023 Accepting new patients
Greater Milwaukee Critical Care and Pulmonary Associates SC Critical Care Medicine CurrentSince Jun 1, 2018 Accepting new patients
Sadashiv Santosh MD LLC CurrentSince Oct 1, 2023 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine CurrentSince Sep 23, 2023 Accepting new patients
Nephrology and Hypertension Specialists, LLC PastSince Jun 1, 2019 Accepting new patients
Nephrology and Hypertension Specialists, LLC PastSince Jan 28, 2024 Accepting new patients

Locations

19475 W North Ave
Brookfield, WI 53045
Phone (262) 780-4000

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3201 S 16th St
Ste 2015
Milwaukee, WI 53215
Phone (262) 240-0841

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 8

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1366653891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W PINE BLVD",
            "address_2": "APARTMENT 7L",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081431",
            "telephone_number": "314-361-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003",
            "telephone_number": "314-362-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOSH",
        "first_name": "SADASHIV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "69065",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2006029624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100263006",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100077549",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.