Individual provider Active NPI

Luis Antonio Santiago-Rosado, M.D.

  • Surgery Physician
  • Calais, ME
National Provider Identifier
1366739674
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD25056 Issued in ME
Practice address
37 Palmer St Ste 1a
Calais, ME 04619-1341
Phone
(207) 454-8432
Fax
(207) 454-3616
NPI assigned
Jul 7, 2011
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD25056 ME Primary

Addresses

Primary practice location

37 Palmer St Ste 1a
Calais, ME 04619-1341

Mailing address

37 Palmer St Ste 1a
Calais, ME 04619-1341
Phone (207) 454-8432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ME, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190228002573 CO Practitioner - General Surgery 8729356134 Reassigns benefits to 1 organization
I20211104002944 ME Practitioner - Orthopedic Surgery 8729356134 Reassigns benefits to 1 organization
I20231025000098 NM Practitioner - Orthopedic Surgery 8729356134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2530 S Telshor Blvd
Suite 103
Las Cruces, NM 88011-4974
Phone (575) 556-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17034NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association Surgery CurrentSince Jan 14, 2019 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Nov 1, 2023 Accepting new patients
Calais Community Hospital CurrentSince Oct 25, 2021 Accepting new patients
Las Cruces Physician Practices, LLC Single Specialty Current Accepting new patients
Trinidad Area Health Association Single Specialty CurrentSince Jan 14, 2019 Accepting new patients
Las Cruces Physician Practices, LLC Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Calais Community Hospital Single Specialty CurrentSince Oct 25, 2021 Accepting new patients

Locations

400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206

37 Palmer St
Ste 1A
Calais, ME 04619
Phone (207) 454-8432

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

600 Anthony Dr
Anthony, NM 88021
Phone (505) 882-2118

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

2530 S Telshor Blvd
Ste 103
Las Cruces, NM 88011
Phone (575) 556-6400

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

2530 S Telshor Blvd
Ste 207
Las Cruces, NM 88011
Phone (575) 522-6806

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: lsantiago@yourcarecommunity.org
  • Direct secure messaging: luis.santiago-rosado.1@19849.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1366739674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PALMER ST STE 1A",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191341",
            "telephone_number": "207-454-8432",
            "fax_number": "207-454-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PALMER ST STE 1A",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191341",
            "telephone_number": "207-454-8432",
            "fax_number": "207-454-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-ROSADO",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD25056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calais, ME

Sources for this page

Verify at the official NPI Registry.