Individual provider Active NPI

David Q Santos, MD

  • Otolaryngology Physician
  • Burien, WA
National Provider Identifier
1386674802
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD00030977 Issued in WA
Practice address
16259 Sylvester Rd SW Ste 504
Burien, WA 98166-3059
Phone
(206) 242-3696
Fax
(206) 246-1078
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD00030977 WA Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X MD00030977 WA

Addresses

Primary practice location

16259 Sylvester Rd SW Ste 504
Burien, WA 98166-3059

Mailing address

16259 Sylvester Rd SW Ste 504
Burien, WA 98166-3059
Phone (206) 242-3696

Other practice location 1

515 Minor Ave Ste 140
Seattle, WA 98104-2138
Phone (206) 242-3696

Other identifiers 2

IdentifierTypeStateIssuer
357764OtherWAWA LABOR & INDUSTRIES
2066625MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040504001428 WA Practitioner - Otolaryngology 4981692308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tulane University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

16259 Sylvester Rd SW
Suite 505
Burien, WA 98166-3059
Phone (206) 242-3696

Hospital & facility affiliations

  • Highline Medical Center Hospital, Burien, WA, CCN 500011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00030977WAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons, Inc., P.S. Otolaryngology CurrentSince Jul 12, 2016 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jul 12, 2016 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Beleza PC Otolaryngology/Facial Plastic Surgery Past Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients

Locations

101 2nd St NE
Auburn, WA 98002
Phone (253) 394-0125

16259 Sylvester Rd SW
Ste 504
Burien, WA 98166
Phone (206) 242-3696

16122 8th Ave SW
Ste D1
Burien, WA 98166
Phone (206) 241-7146

16259 Sylvester Rd SW
Ste 505
Burien, WA 98166
Phone (206) 242-3696

515 Minor Ave
Ste 140
Seattle, WA 98104
Phone (206) 682-6103

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • Direct secure messaging: david.santos.p47@direct.proliance.nextgenshare.com

Organizations & group practices 6

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 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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386674802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW STE 504",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663059",
            "telephone_number": "206-242-3696",
            "fax_number": "206-246-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW STE 504",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663059",
            "telephone_number": "206-242-3696",
            "fax_number": "206-246-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Minor Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042138",
            "country_code": "US",
            "telephone_number": "206-242-3696",
            "fax_number": "206-246-1078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "DAVID",
        "middle_name": "Q",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00030977",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "WA",
            "license": "MD00030977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "357764",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066625",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.