Individual provider Active NPI

Robert D Santrock, M.D.

  • Orthopaedic Surgery Physician
  • Fernandina Beach, FL
National Provider Identifier
1497731780
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME151129 Issued in FL
Practice address
1348 S 18TH St Ste 200
Fernandina Beach, FL 32034-4785
Phone
(904) 202-6683
Fax
(904) 376-3062
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 28473 SC
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 20792 WV
Orthopaedic Surgery Physician 207X00000X ME151129 FL Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X ME151129 FL
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 35.08143 OH

Addresses

Primary practice location

1348 S 18TH St Ste 200
Fernandina Beach, FL 32034-4785

Mailing address

PO Box 746647
Atlanta, GA 30374-6647
Phone (904) 202-2092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210915003826 OH Practitioner - Orthopedic Surgery 0244246627
I20230127002402 FL Practitioner - Orthopedic Surgery 0244246627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyerly Baptist IncGroup PAC ID 9830112226, 72 clinicians
Dovetail Orthopedics, LLCGroup PAC ID 4981047685, 2 clinicians

Practice addresses (Care Compare)

1348 S 18TH St
Suite 200
Fernandina Beach, FL 32034-4785
Phone (904) 202-6683

2416 Lynndale Rd
Suite 102
Fernandina Beach, FL 32034-5201
Phone (904) 430-7132

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.84 of 100Reported as group
Quality
85.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28473SCMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Stackhouse MD PA Foot and Ankle Surgery CurrentSince Mar 1, 2023 Accepting new patients
Lyerly Baptist Inc Orthopaedic Surgery CurrentSince Nov 1, 2025 Accepting new patients
Dovetail Orthopedics, LLC Foot and Ankle Surgery CurrentSince Dec 23, 2023 Accepting new patients
Midlands Orthopaedics and Neurosurgery, PA Orthopaedic Surgery Past Accepting new patients
Midlands Orthopaedics and Neurosurgery PA PastSince Oct 23, 2009 Accepting new patients

Locations

1348 S 18th St
Ste 200
Fernandina Beach, FL 32034
Phone (904) 202-6683

6 S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-5741

2416 Lynndale Rd
Ste 102
Fernandina Beach, FL 32034
Phone (904) 202-6683

1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041

Interoperability endpoints

  • Direct secure messaging: rsantrock815743@direct.shands.ufl.edu
  • Direct secure messaging: rsantrock161450@baptisthealthsystemjacksonville.direct-ci.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 2

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1497731780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746647",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746647",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 S 18TH ST STE 200",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344785",
            "telephone_number": "904-202-6683",
            "fax_number": "904-376-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTROCK",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "SC",
            "license": "28473",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "WV",
            "license": "20792",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME151129",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "ME151129",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "OH",
            "license": "35.08143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.