Individual provider Active NPI

Edgardo Santos, MD

  • Hematology & Oncology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1639260771
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME83677 Issued in FL
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

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1465801MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090323000356 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4880650795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oncology Institute FL, LLCGroup PAC ID 7315999372, 22 clinicians

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

OrganizationSpecialtyStatusNew patients
Starling Oncology FL, LLC Hematology & Oncology CurrentSince Nov 6, 2023 Accepting new patients
Toi FL Mso, LLC Hematology & Oncology PastSince Mar 20, 2025 Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients
The Center for Hematology Oncology PastSince Dec 28, 2012 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

  • Direct secure messaging: esantos@brrh.direct.varian.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.