Mary Santiago, M.D.
Individual provider Active NPI Family Medicine Physician · Fulshear, TX
NPI 1528097268 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1528097268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- N2775 (TX)
- Practice address
- 7629 Tiki Dr
Fulshear, TX 77441-1548 - Phone
- (281) 346-0018
- Fax
- (281) 346-0913
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 11
Medicare Care Compare profile
- 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.
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
- Accentcare Home Health of Houston - North, LLC
- Memorial Hermann Katy Hospital
- Houston Methodist West Hospital
- Memorial Hermann Memorial City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100305000317 | TX | Practitioner - Family Practice | 7416910583 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078574 | MI | MD | Family Medicine Physician |
| N2775 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heidi Schultz, M.D., P.a. | Family Medicine | Current |
Accepting new patients |
| Preferred Urgent Care, PA | Family Medicine | Current |
Accepting new patients |
| Cardiology Center of Houston PA | Current |
Accepting new patients |
Locations
600 Jefferson St
Ste 404
Lafayette, LA 70501
600 Jefferson St
Ste 301
Lafayette, LA 70501
Phone (337) 593-5420
4030 FM 1463 Rd
Ste 108
Fulshear, TX 77494
Phone (281) 916-1444
7629 Tiki Dr
Fulshear, TX 77441
Phone (281) 346-0018
29818 FM 1093 Rd
Ste 200
Fulshear, TX 77441
Phone (281) 346-8326
1450 W Grand Pkwy S
Ste M
Katy, TX 77494
Phone (281) 916-1444
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEDECA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N2775 | TX | Yes |
| 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
- Mary Aileen Santiago-Subora
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mary.santiago@fulm.eclinicaldirectplus.com | Direct |
Other providers in Fulshear, TX
- Piipar S Rivera
- Brendon Gael Roatch-Cardenas
- Elizabeth C Rodriguez
- Maritza Romero
- Salusync LLC
- Hailey Marie Scholz
- Shawn Brook Schoppe
- Heidi Ann Schultz
- Seastar ABA LLC
- Sulbha Shelare
All providers in Fulshear, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.