Individual provider Active NPI

Gregory Santamaria, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mount Pleasant, SC
National Provider Identifier
1598136996
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
657 Issued in SC
Practice address
1112 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3131
Phone
(843) 981-5008
Fax
(843) 981-5016
NPI assigned
Oct 12, 2015
Last updated
Jun 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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 Podiatrist 213ES0103X 657 SC Primary

Addresses

Primary practice location

1112 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3131

Mailing address

1140 Ardmore Dr Apt 204
Mount Pleasant, SC 29466-6318
Phone (570) 977-8942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20190211002530 SC Practitioner - Podiatry 3072885854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Footcare, LLCGroup PAC ID 4587748652, 27 clinicians

Practice addresses (Care Compare)

1112 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3131
Phone (803) 256-6776

3471 W Montague Ave
North Charleston, SC 29418-6133
Phone (803) 256-6776

6 Barnette Dr
Sumter, SC 29150-8004
Phone (803) 256-6776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
63.47
Promoting interoperability
93
Improvement activities
40
Cost
87.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue57
Removal of skin lesions1-10
Removal of nail tissue1155
Removal or shaving of skin growth989
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
657SCMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Footcare, LLC Foot & Ankle Surgery CurrentSince Jan 1, 2019 Accepting new patients
Stride Pharmacy PastSince Oct 13, 2019 Accepting new patients

Locations

1730 Saint Julian Pl
Columbia, SC 29204
Phone (803) 256-6776

6 Barnette Dr
Sumter, SC 29150
Phone (803) 773-3391

Interoperability endpoints

  • Direct secure messaging: greg.santamaria.1@27654.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1598136996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 ARDMORE DR APT 204",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666318",
            "telephone_number": "570-977-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643131",
            "telephone_number": "843-981-5008",
            "fax_number": "843-981-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAMARIA",
        "first_name": "GREGORY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.