Active NPI
Artemio Capili Santiago, MD
- Internal Medicine Physician
- Fort Madison, IA
National Provider Identifier
1376510883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20740
- Practice address
- 5409 Ave O
Suite 107
Fort Madison, IA 52627-9601 - Phone
- (319) 372-7270
- Fax
- (319) 372-7279
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20740 | IA | Primary |
Addresses
Primary practice location
5409 Ave O
Suite 107
Fort Madison, IA 52627-9601
Mailing address
5409 Ave O
Suite 107
Fort Madison, IA 52627
Phone (319) 372-7270
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13885 | Medicaid | IA | |
| 421324159 | Other | HUMANA GOLD | |
| 421324159 | Other | UNITED HEALTH CARE | |
| 42132415901 | Other | JOHN DEERE HEALTH CARE | |
| 421324159 | Other | WAUSAU | |
| 421324159 | Other | AETNA | |
| 421324159 | Other | STANDARD LIFE | |
| 421324159 | Other | APWU | |
| 793111317 | Other | IA | PALMETTO GBA |
| 421324159 | Other | BANKERS LIFE & CASUALTY | |
| 421324159 | Other | NATL ASSC LETTER CARRIERS | |
| 421324159 | Other | TRI CARE | |
| 13885 | Other | WELLMARK BCBS IA | |
| 421324159 | Other | SECURE HORIZONS | |
| 421324159T | Other | BLUE SHIELD OF ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20740 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- asantiago@fmchosp.gwaydirect.com
Organizations & group practices 1
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.
-
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1376510883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5409 AVE O",
"address_2": "SUITE 107",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "52627",
"telephone_number": "319-372-7270",
"fax_number": "319-372-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 AVE O",
"address_2": "SUITE 107",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279601",
"telephone_number": "319-372-7270",
"fax_number": "319-372-7279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "ARTEMIO",
"middle_name": "CAPILI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "20740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13885",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH CARE",
"identifier": "42132415901",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAUSAU",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STANDARD LIFE",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APWU",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "793111317",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BANKERS LIFE & CASUALTY",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATL ASSC LETTER CARRIERS",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS IA",
"identifier": "13885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZONS",
"identifier": "421324159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF ILLINOIS",
"identifier": "421324159T",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Madison, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.