Individual provider Active NPI

Juan Felipe Santos, M.D.

  • Neurology Physician
  • Corpus Christi, TX
National Provider Identifier
1376508101
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H2754 Issued in TX
Practice address
527 Gordon St Ste B
Corpus Christi, TX 78404-2517
Phone
(361) 882-9100
Fax
(361) 882-9194
NPI assigned
Apr 17, 2006
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H2754 TX Primary

Addresses

Primary practice location

527 Gordon St Ste B
Corpus Christi, TX 78404-2517

Mailing address

527 Gordon St Ste B
Corpus Christi, TX 78404-2517
Phone (361) 882-9100

Other practice location 1

5402 Holly RD
Suite 2102-2
Corpus Christi, TX 78411-4645
Phone (361) 882-9100

Other identifiers 1

IdentifierTypeStateIssuer
098555804MedicaidTX

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
I20110323000475 TX Practitioner - NeurologyPractitioner - Sleep Medicine 2961685318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Baylor College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

527 Gordon St
Suite B
Corpus Christi, TX 78404-2517
Phone (361) 882-9100

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
H2754TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Adult Neurology, PA Neurology CurrentSince Jan 1, 2002 Accepting new patients

Locations

2601 Hospital Blvd
Ste 206
Corpus Christi, TX 78405
Phone (361) 882-9100

527 Gordon St
Ste B
Corpus Christi, TX 78404
Phone (361) 882-9100

Interoperability endpoints

  • Direct secure messaging: juansantos@aan.ssdirect.aprima.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1376508101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 GORDON ST STE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042517",
            "telephone_number": "361-882-9100",
            "fax_number": "361-882-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 GORDON ST STE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042517",
            "telephone_number": "361-882-9100",
            "fax_number": "361-882-9194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5402 Holly RD",
            "address_2": "SUITE 2102-2",
            "address_purpose": "LOCATION",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114645",
            "country_code": "US",
            "telephone_number": "361-882-9100",
            "fax_number": "361-882-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JUAN",
        "middle_name": "FELIPE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-10-27",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H2754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098555804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.