Individual provider Active NPI

Rolando R Santellana

  • Foot & Ankle Surgery Podiatrist
  • Live Oak, TX
National Provider Identifier
1528473501
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2283 Issued in TX
Practice address
12602 Toepperwein Rd Ste 205
Live Oak, TX 78233-3271
Phone
(210) 447-7058
Fax
(210) 447-7120
NPI assigned
Jun 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2283 TX Primary

Addresses

Primary practice location

12602 Toepperwein Rd Ste 205
Live Oak, TX 78233-3271

Mailing address

PO Box 1177
Converse, TX 78109-4177
Phone (210) 447-7058

Other practice location 1

2130 NE Loop 410 Ste E301
San Antonio, TX 78217-4659
Phone (210) 829-1880

Other practice location 2

11212 Highway 151 Ste 390
San Antonio, TX 78251-4504
Phone (210) 829-1880

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711000688 TX Practitioner - Podiatry 9739458506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western University of Health Sciences College of Dental Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12602 Toepperwein Rd
Suite 205
Live Oak, TX 78233-3271
Phone (210) 978-6505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue96
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2283TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater San Antonio Podiatry PLLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients

Locations

12602 Toepperwein Rd
Ste 205
Live Oak, TX 78233
Phone (210) 650-9119

Interoperability endpoints

  • Direct secure messaging: rolando.santellana.1@25377.direct.athenahealth.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 3

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1528473501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781094177",
            "telephone_number": "210-447-7058",
            "fax_number": "210-447-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 205",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333271",
            "telephone_number": "210-447-7058",
            "fax_number": "210-447-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 NE Loop 410 Ste E301",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782174659",
            "country_code": "US",
            "telephone_number": "210-829-1880",
            "fax_number": "210-822-6551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11212 Highway 151 Ste 390",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514504",
            "country_code": "US",
            "telephone_number": "210-829-1880",
            "fax_number": "210-822-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTELLANA",
        "first_name": "ROLANDO",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.