Organization Active NPI

Kathy Santoriello MD PA

  • Specialist
  • Stuart, FL
National Provider Identifier
1437331238
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME68461 Issued in FL
Legal business name
KATHY SANTORIELLO MD PA
Practice address
900 SE Ocean Blvd
Suite 330 D
Stuart, FL 34994-2471
Phone
(772) 419-0505
Fax
(772) 781-7327
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Kathy A Santoriello, M.D.NPI 1467507582
Title
President
Phone
(772) 419-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME68461 FL Primary

Addresses

Primary practice location

900 SE Ocean Blvd
Suite 330 D
Stuart, FL 34994-2471

Mailing address

6860 SE Harbor Cir
Stuart, FL 34996-1968
Phone (772) 419-0505

Other identifiers 1

IdentifierTypeStateIssuer
43005OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000181 FL Part B Supplier - Clinic/Group Practice 6709846496 Receives reassigned benefits from 4 practitioners
Practice locations: Stuart, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1099733Kathy Santoriello MD PA900 East Ocean Blvd #330-D, Stuart, FL 34994Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

900 SE Ocean Blvd
Ste 330D
Stuart, FL 34994
Phone (772) 419-0505

900 SE Ocean Blvd
#330D
Stuart, FL 34994
Phone (772) 419-0505

900 SE Ocean Blvd
Ste 330
Stuart, FL 34994
Phone (407) 283-9330

900 SE Ocean Blvd
Ste 246E
Stuart, FL 34994
Phone (772) 335-2477

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1437331238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 SE HARBOR CIR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349961968",
            "telephone_number": "772-419-0505",
            "fax_number": "772-781-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD",
            "address_2": "SUITE 330 D",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942471",
            "telephone_number": "772-419-0505",
            "fax_number": "772-781-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY SANTORIELLO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "SANTORIELLO",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-419-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME68461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43005",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.