Individual provider Active NPI

Jennifer Santiago, MD

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
National Provider Identifier
1457437162
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0101235943 Issued in VA
Practice address
6355 Walker LN
Suite 408
Alexandria, VA 22310-3245
Phone
(703) 719-0382
Fax
(703) 719-9628
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD0101235943 VA Primary

Addresses

Primary practice location

6355 Walker LN
Suite 408
Alexandria, VA 22310-3245

Mailing address

1860 Town Center Dr
Suite 110
Reston, VA 20190
Phone (703) 796-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080416000598 DC Practitioner - Obstetrics/Gynecology 3274611231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

6355 Walker LN
Alexandria, VA 22310-3250

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0101235943VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc Obstetrics & Gynecology CurrentSince May 1, 2014 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Aug 5, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 5, 2021 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6355 Walker Ln
Ste 408
Alexandria, VA 22310
Phone (703) 719-0382

1860 Town Center Dr
Ste 110
Reston, VA 20190
Phone (703) 796-0200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.santiago.1@8042.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1457437162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 110",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-796-0200",
            "fax_number": "703-796-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "address_2": "SUITE 408",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103245",
            "telephone_number": "703-719-0382",
            "fax_number": "703-719-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "MD0101235943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.