Active NPI
Patrick C Santos, MD
- Family Medicine Physician
- Upper Tumon, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M001195
- Practice address
- 125 Carlos Lane
Carlos Heights
Upper Tumon, GU 96913 - Phone
- (671) 649-5052
- Fax
- (671) 649-5054
- NPI assigned
- Dec 13, 2006
- Last updated
- Sep 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M001195 | GU | Primary |
Addresses
Primary practice location
125 Carlos Lane
Carlos Heights
Upper Tumon, GU 96913
Mailing address
125 Carlos LN
Tamuning, GU 96913-4339
Phone (671) 649-5052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 Carlos LN
Tamuning, GU 96913-4339
Phone (671) 649-5052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M001195 | GU | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tumon Medical Office | Family Medicine | Current | Accepting new patients |
Locations
125 Carlos Ln
Tamuning, GU 96913
Phone (671) 649-5052
125 Carlos Ln
Uppr
Tamuning, GU 96913
Phone (671) 649-5052
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1609937762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 CARLOS LN",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969134339",
"telephone_number": "671-649-5052",
"fax_number": "671-649-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CARLOS LANE",
"address_2": "CARLOS HEIGHTS",
"city": "UPPER TUMON",
"state": "GU",
"postal_code": "96913",
"telephone_number": "671-649-5052",
"fax_number": "671-649-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "PATRICK",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GU",
"license": "M001195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Tumon, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.