Active NPI
Angelito G Santos, MD
- Emergency Medicine Physician
- Tamuning, GU
National Provider Identifier
1447280680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M-1605
- Practice address
- 548 S Marine Corps Dr
Tamuning, GU 96913-3539 - Phone
- (671) 646-5825
- Fax
- (671) 646-0556
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1164471090
Emergency Medicine
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.81 of 100
- Quality
- 83.57
- Improvement activities
- 40
- Cost
- 76.16
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100122000242 | GU | Practitioner - Emergency Medicine | 2264458629 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40092 | AZ | MD | Emergency Medicine Physician |
| C53333 | CA | MD | Emergency Medicine Physician |
| M-1605 | GU | MD | Emergency Medicine Physician |
| 37917 | IA | MD | Emergency Medicine Physician |
| ME0065167 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Memorial Hospital | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Past | Accepting new patients | |
| Magnolia Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
Specialties & licenses 5
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 37917 | IA | |
| Emergency Medicine Physician | 207P00000X | C53333 | CA | |
| Emergency Medicine Physician | 207P00000X | M-1605 | GU | Primary |
| Emergency Medicine Physician | 207P00000X | 40092 | AZ | |
| Pediatrics Physician | 208000000X | ME0065167 | FL |
Addresses
NPPES NPI RegistryPrimary practice location
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Mailing address
821 Renmar Drive
Plantation, FL 33317-4219
Phone (954) 306-8411
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32882 | Other | FL | BCBS |
| 252078800 | Medicaid | FL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2009.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1447280680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 RENMAR DRIVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333174219",
"telephone_number": "954-306-8411",
"fax_number": "954-306-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 S MARINE CORPS DR",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133539",
"telephone_number": "671-646-5825",
"fax_number": "671-646-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "ANGELITO",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "37917",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C53333",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GU",
"license": "M-1605",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "40092",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0065167",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32882",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252078800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.