Tera Santistevan, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

368 Issued in OK

Practice address

400 S. Mission St.
Sapulpa, OK 74066

Phone

(918) 494-2902

Fax

(918) 494-2905

NPI assigned

Oct 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Podiatry

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Tulsa Foot and Ankle Specialist PLLCGroup PAC ID 1759293046, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tulsa Spine & Specialty Hospital Hospital, Tulsa, OK, CCN 370216

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Metro Tulsa Foot & Ankle Specialist PLLC

  • Foot & Ankle Surgery Podiatrist
  • Broken Arrow, OK
  • NPI 1477588945
  Medicare reassignment Care Compare group NPD
• Metro Tulsa Foot & Ankle Specialist PLLC

  • Primary Podiatric Medicine Podiatrist
  • Tulsa, OK
  • NPI 1720467483
  NPD
• Metro Tulsa Foot & Ankle Specialist PLLC

  • Foot & Ankle Surgery Podiatrist
  • Tulsa, OK
  • NPI 1174610315
  NPD (past)
• Metro Tulsa Foot & Ankle Specialist PLLC

  • Foot & Ankle Surgery Podiatrist
  • Sapulpa, OK
  • NPI 1881782589
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tulsa Spine & Specialty Hospital

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1033185293
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1588174841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W. ELGIN ST.",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-494-2902",
            "fax_number": "918-494-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. MISSION ST.",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "74066",
            "telephone_number": "918-494-2902",
            "fax_number": "918-494-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTISTEVAN",
        "first_name": "TERA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-01",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilda Sample
• Halley Sanchez
• Shannon S Sandmeyer
• Toni Sanitoa
• Joyce Sanseverino
• Sapulpa Dentistry and Braces
• Sapulpa Drive in Pharmacy
• Sapulpa Kids Dental PLLC
• Sapulpa Public Schools
• Steven Sassin, B.A.

• Podiatrist in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.