Individual provider Active NPI

David Santiago, MD

  • Family Medicine Physician
  • Odessa, TX
National Provider Identifier
1366679680
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP1-0035517 Issued in TX
Practice address
701 W 5TH St
Odessa, TX 79763-4206
Phone
(432) 335-5333
NPI assigned
Jun 12, 2009
Last updated
Jun 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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 BP1-0035517 TX Primary

Addresses

Primary practice location

701 W 5TH St
Odessa, TX 79763-4206

Mailing address

701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 335-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130125000380 TX Practitioner - Family Practice 8022262179 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panther Inpatient Care PLLCGroup PAC ID 6901080183, 14 clinicians

Practice addresses (Care Compare)

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0035517TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Hospitalist Associates, LLC CurrentSince Oct 28, 2012 Accepting new patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Sep 27, 2018 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Dec 1, 2018 Accepting new patients
Panther Inpatient Care PLLC CurrentSince Jul 1, 2020 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2008 Nine Rd
Brady, TX 76825
Phone (325) 597-2901

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

23775 Kingwood Place Dr
Kingwood, TX 77339
Phone (281) 318-2600

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1 Heartland Dr
San Antonio, TX 78247
Phone (210) 510-3200

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Organizations & group practices 5

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 5

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1366679680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-335-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-335-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP1-0035517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.