NPIMap

Individual provider Active NPI

Mary Santiago, M.D.

  • Family Medicine Physician
  • Fulshear, TX
National Provider Identifier
1528097268
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N2775 Issued in TX
Practice address
7629 Tiki Dr
Fulshear, TX 77441-1548
Phone
(281) 346-0018
Fax
(281) 346-0913
NPI assigned
Jul 3, 2006
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N2775 TX Primary
Family Medicine Physician 207Q00000X 4301078574 MI

Addresses

Primary practice location

7629 Tiki Dr
Fulshear, TX 77441-1548

Mailing address

600 Jefferson St Ste 404
Lafayette, LA 70501-6991
Phone (281) 346-0018

Other practice location 1

1450 W Grand Pkwy S Ste M
Katy, TX 77494-8331
Phone (281) 916-1444 ext. 105

Other names 1

  • Mary Aileen Santiago-Subora Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.santiago@fulm.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000317 TX Practitioner - Family Practice 7416910583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heidi Schultz, M.D., P.a.Group PAC ID 8224047824, 7 clinicians

Practice addresses (Care Compare)

1450 W Grand Pkwy S
Suite M
Katy, TX 77494-8331
Phone (832) 437-8467

7629 Tiki Dr
Fulshear, TX 77441-1548
Phone (281) 346-0018

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301078574MIMDFamily Medicine Physician
N2775TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Urgent Care, PA Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cardiology Center of Houston PA CurrentSince Jan 6, 2022 Accepting new patients
Heidi Schultz, M.D., P.a. Family Medicine CurrentSince Mar 27, 2020 Accepting new patients

Locations

600 Jefferson St
Ste 301
Lafayette, LA 70501
Phone (337) 593-5420

600 Jefferson St
Ste 404
Lafayette, LA 70501

29818 FM 1093 Rd
Ste 200
Fulshear, TX 77441
Phone (281) 346-8326

4030 FM 1463 Rd
Ste 108
Fulshear, TX 77494
Phone (281) 916-1444

7629 Tiki Dr
Fulshear, TX 77441
Phone (281) 346-0018

1450 W Grand Pkwy S
Ste M
Katy, TX 77494
Phone (281) 916-1444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDECA
  • Direct secure messaging: mary.santiago@fulm.eclinicaldirectplus.com

Organizations & group practices 3

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 11

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1528097268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST STE 404",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016991",
            "telephone_number": "281-346-0018",
            "fax_number": "281-346-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 TIKI DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411548",
            "telephone_number": "281-346-0018",
            "fax_number": "281-346-0913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 W Grand Pkwy S Ste M",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774948331",
            "country_code": "US",
            "telephone_number": "281-916-1444 x105",
            "fax_number": "832-437-8983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N2775",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301078574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.santiago@fulm.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Mary Santiago",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD or PDF",
            "address_1": "7629 Tiki Dr",
            "city": "Fulshear",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774411548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SANTIAGO-SUBORA",
            "middle_name": "AILEEN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fulshear, TX

Sources for this page

Verify at the official NPI Registry.