Individual provider Active NPI

Diana Santiago, M.D.

  • Anesthesiology Physician
  • Valhalla, NY
National Provider Identifier
1568469690
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
195278 Issued in NY
Practice address
100 Woods Rd
Valhalla, NY 10595-1530
Phone
(914) 493-7000
Fax
(914) 493-5827
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 72896 CT
Anesthesiology Physician 207L00000X 195278 NY Primary

Addresses

Primary practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Other practice location 1

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 586-2631

Other practice location 2

42084 State Highway 28
Margaretville, NY 12455-2820
Phone (845) 338-2500

Other practice location 3

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

Other identifiers 1

IdentifierTypeStateIssuer
02587415MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20040714001624 NY Practitioner - Anesthesiology 6406756196 Reassigns benefits to 9 organizations
I20231116000166 CT Practitioner - Anesthesiology 6406756196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Buffalo School of Medicine, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72896CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Gi, LLC CurrentSince Jul 21, 2022 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Jul 1, 2022 Accepting new patients
New York University CurrentSince Nov 1, 2022 Accepting new patients
New York University Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Jun 28, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jun 28, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC Anesthesiology CurrentSince Jun 15, 2020 Accepting new patients
Greater Connecticut Anesthesia Associates, LLC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Jul 1, 2022 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Anesthesiology Current Accepting new patients
New York Gi Center LLC CurrentSince Feb 6, 2024 Accepting new patients
Hudson Health Anesthesia PLLC Anesthesiology CurrentSince Jan 4, 2022 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jan 1, 2022 Accepting new patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
New York University Anesthesiology Current Accepting new patients
New England Anesthesia Associates, LLC Anesthesiology PastSince Feb 21, 2021 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Hma Mesquite Hospital Inc Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

111 E 210th St
Bronx, NY 10467

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

6 Front St
Newburgh, NY 12550

27005 76th Ave
North New Hyde Pk, NY 11040

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dsantiago3500501@nychhc.direct-ci.com
  • Direct secure messaging: dsantiago529961@nyumc.direct-ci.com
  • Direct secure messaging: disantiago@montefioredirect.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1568469690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018",
            "fax_number": "914-909-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-7000",
            "fax_number": "914-493-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Marys Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124015829",
            "country_code": "US",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-1638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42084 State Highway 28",
            "address_purpose": "LOCATION",
            "city": "Margaretville",
            "state": "NY",
            "postal_code": "124552820",
            "country_code": "US",
            "telephone_number": "845-338-2500",
            "fax_number": "845-331-2530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "396 Broadway",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124014626",
            "country_code": "US",
            "telephone_number": "845-331-3131",
            "fax_number": "845-331-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-05-17",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "72896",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "195278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.