Individual provider Active NPI

Josefa S Santiago, MD

  • Internal Medicine Physician
  • Lufkin, TX
National Provider Identifier
1497765036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1449 Issued in TX
Practice address
202 So Bynum
Lufkin, TX 75904
Phone
(936) 632-9277
Fax
(936) 632-9285
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 L1449 TX Primary

Addresses

Primary practice location

202 So Bynum
Lufkin, TX 75904

Mailing address

202 So Bynum
Lufkin, TX 75904
Phone (936) 632-9277

Other identifiers 1

IdentifierTypeStateIssuer
8N2700OtherTXBCBS OF TX

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
I20100426000013 TX Practitioner - Internal Medicine 1456365691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 S Bynum St
Lufkin, TX 75904-3913
Phone 9366329277224

Hospital & facility affiliations

  • Reliant at Home Home health agency, Lufkin, TX, CCN 747328
  • A Pineywoods Home Health Care Inc Home health agency, Lufkin, TX, CCN 677545
  • A Caring Touch Home Health Services & Hospice Care Hospice, Lufkin, TX, CCN 971671
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
  • Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
  • Tyler County Hospital Hospital, Woodville, TX, CCN 450460
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000167NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Lufkin Adult Medicine Clinic CurrentSince Apr 1, 2001 Accepting new patients

Locations

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

202 S Bynum St
Lufkin, TX 75904
Phone (862) 290-7727

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: josefa.santiago.1@11715.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11715/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A Caring Touch Home Health Services & Hospice CareLufkin, TX, CCN 971671 Hospice Contracted Managing Employee Aug 25, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 8

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497765036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SO BYNUM",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-9277",
            "fax_number": "936-632-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SO BYNUM",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-9277",
            "fax_number": "936-632-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JOSEFA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8N2700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.