Individual provider Active NPI

Robert A. Santora, M.D.P.C.

  • Ophthalmology Physician
  • Meadville, PA
National Provider Identifier
1649293218
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD029837L Issued in PA
Practice address
390 Linden St
Meadville, PA 16335-3026
Phone
(814) 724-5122
Fax
(814) 724-8276
NPI assigned
Jul 25, 2006
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD029837L PA Primary

Addresses

Primary practice location

390 Linden St
Meadville, PA 16335-3026

Mailing address

390 Linden St
Meadville, PA 16335-3026
Phone (814) 724-5122

Other identifiers 1

IdentifierTypeStateIssuer
0006183580002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100310000596 PA Practitioner - Ophthalmology 9335178912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Santora M.D.P.C Ophthalmology CurrentSince Dec 4, 1978 Accepting new patients

Locations

390 Linden St
Meadville, PA 16335
Phone (412) 466-8011

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1649293218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LINDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353026",
            "telephone_number": "814-724-5122",
            "fax_number": "814-724-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LINDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353026",
            "telephone_number": "814-724-5122",
            "fax_number": "814-724-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORA",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD029837L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006183580002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.