Individual provider Active NPI

Santiago Segurola, M.D.

  • Internal Medicine Physician
  • Humble, TX
National Provider Identifier
1457668626
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N7583 Issued in TX
Practice address
18648 McKay Dr
220
Humble, TX 77338-5716
Phone
(281) 548-1210
NPI assigned
Sep 8, 2010
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N7583 TX Primary

Addresses

Primary practice location

18648 McKay Dr
220
Humble, TX 77338-5716

Mailing address

18648 McKay Dr
220
Humble, TX 77338-5716
Phone (281) 548-1210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110413000573 TX Practitioner - Internal Medicine 3971787193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical AssociatesGroup PAC ID 1850487893, 3 clinicians

Practice addresses (Care Compare)

18648 McKay Dr
Suite 220
Humble, TX 77338-5724
Phone (281) 548-1210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Associates Internal Medicine CurrentSince Mar 7, 2011 Accepting new patients

Locations

18648 McKay Dr
Ste 220
Humble, TX 77338
Phone (281) 548-1210

Interoperability endpoints

  • Direct secure messaging: santiago.segurola@nema220.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1457668626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18648 MCKAY DR",
            "address_2": "220",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385716",
            "telephone_number": "281-548-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18648 MCKAY DR",
            "address_2": "220",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385716",
            "telephone_number": "281-548-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUROLA",
        "first_name": "SANTIAGO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.