Active NPI
Edgardo Santos, MD
- Hematology & Oncology Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME83677
- Practice address
- 500 SE 17TH St Ste 100
Fort Lauderdale, FL 33316-2547 - Phone
- (754) 336-3426
- Fax
- (754) 241-4659
- NPI assigned
- Sep 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 15621R | LA | |
| Hematology & Oncology Physician | 207RH0003X | ME83677 | FL | Primary |
Addresses
Primary practice location
500 SE 17TH St Ste 100
Fort Lauderdale, FL 33316-2547
Mailing address
500 SE 17TH St Ste 100
Fort Lauderdale, FL 33316-2547
Phone (754) 336-3426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1465801 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Hematology/Oncology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 SE 17TH St 1St Floor
Suite 100
Fort Lauderdale, FL 33316-2547
Phone (754) 202-3460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Oncology FL, LLC | Hematology & Oncology | Current | Accepting new patients |
| Toi FL Mso, LLC | Hematology & Oncology | Past | Accepting new patients |
| Administrators of the Tulane Education Fund | Past | Accepting new patients | |
| The Center for Hematology Oncology | Past | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| The Administrators of the Tulane Educational Fund | Past | Accepting new patients |
Locations
18000 Studebaker Rd
Ste 800
Cerritos, CA 90703
4500 Brockton Ave
Ste 316
Riverside, CA 92501
Phone (760) 733-9191
500 SE 17th St
Ste 100
Ft Lauderdale, FL 33316
Phone (954) 462-7558
6499 38th Ave N
Ste G1
St Petersburg, FL 33710
Phone (727) 381-3761
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- esantos@brrh.direct.varian.com
- edgardo.santos@theoncologyinstitute.ikm.direct-ci.com
Organizations & group practices 6
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.
-
- Medical Oncology Physician
- St Petersburg, FL
- NPI 1730142373
Hematology & Oncology
-
- Specialist
- Delray Beach, FL
- NPI 1861441420
-
- Hematology & Oncology Physician
- St Petersburg, FL
- NPI 1962201970
-
- Anatomic Pathology & Clinical Pathology Physician
- New Orleans, LA
- NPI 1790354595
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Specialist
- New Orleans, LA
- NPI 1437365863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1639260771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SE 17TH ST STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162547",
"telephone_number": "754-336-3426",
"fax_number": "754-241-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SE 17TH ST STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162547",
"telephone_number": "754-336-3426",
"fax_number": "754-241-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "EDGARDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "LA",
"license": "15621R",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "ME83677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1465801",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.