Individual provider Active NPI

Luis A Santiago-Cruz, MD

  • Family Medicine Physician
  • Wilbraham, MA
National Provider Identifier
1639183676
Registry record updated Feb 17, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jul 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223024 Issued in MA
Practice address
2344 Boston Rd
Wilbraham, MA 01095-1104
Phone
(413) 596-3455
Fax
(413) 596-2961
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 223024 MA Primary

Addresses

Primary practice location

2344 Boston Rd
Wilbraham, MA 01095-1104

Mailing address

2344 Boston Rd
Wilbraham, MA 01095-1104
Phone (413) 596-3455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Affiliated Practice Organization Family Medicine Past Accepting new patients
Baystate Medical Practices, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1639183676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951104",
            "telephone_number": "413-596-3455",
            "fax_number": "413-596-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951104",
            "telephone_number": "413-596-3455",
            "fax_number": "413-596-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-CRUZ",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "223024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

Verify at the official NPI Registry.