Elaine T Santos, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

28536 Issued in AZ

Practice address

5501 N 19TH Ave Ste 400
Phoenix, AZ 85015-2456

Phone

(602) 249-9161

Fax

(602) 246-2853

NPI assigned

May 31, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Loop 101 Emergency Physicians LLC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1376573378
  Medicare reassignment NPD
• Arbor Medical Partners, LLC

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1023546082
  NPD (past)
• Children'S Medical Group, LTD

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1003096801
  NPD (past)
• North Scottsdale Pediatric Associates

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1275797235
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1609879964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 W ANTHEM WAY",
            "address_2": "SUITE B-114",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860455",
            "telephone_number": "623-551-0442",
            "fax_number": "623-551-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152456",
            "telephone_number": "602-249-9161",
            "fax_number": "602-246-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ELAINE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "28536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "532459",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Dion Santonastaso, RDN, CLC, IBCLC, CDE
• Alexa Kristine Santoro, LCSW
• Nicole Santoro, PMHNP
• Ana Janet Santos
• Cedric Alen Santos
• Jessyca Santos, RBT
• Jordan Santos, MD
• Renato M. Santos, MD
• Sergio Xavier Santos, BA, LISAC
• Breanna Nicole Santoso

• Pediatrics Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.