John Alexander Santos, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209017709 Issued in IL

Practice address

2222 E State St Ste 209
Rockford, IL 61104-1572

Phone

(815) 988-8500

Fax

(815) 977-5956

NPI assigned

May 30, 2018

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Healthcare Providers LTDGroup PAC ID 5395084297, 6 clinicians

Advanced Practice Medical Group LLCGroup PAC ID 2769885300, 5 clinicians

Fareha N. Malik, M.D. LLCGroup PAC ID 5193863587, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: behavioralhealthcareproviders.johnsantos@147503.advancedmd-direct.com

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.

• Advanced Practice Medical Group LLC

  • Psychiatry Physician
  • Rolling Meadows, IL
  • NPI 1386220184

  Family

  Medicare reassignment Care Compare group NPD
• Fareha N. Malik, M.D. LLC

  • Child & Adolescent Psychiatry Physician
  • Rockford, IL
  • NPI 1528195013
  Medicare reassignment Care Compare group NPD
• Behavioral Healthcare Providers LTD

  • Multi-Specialty Clinic/Center
  • Schaumburg, IL
  • NPI 1043781958
  Medicare reassignment Care Compare group
• Aleksandr Dekhtyar MD SC

  • Psychiatry Physician
  • Deerfield, IL
  • NPI 1801091582
  Medicare reassignment NPD
• Advanced Psychiatry of Elgin

  • Behavior Analyst
  • Elgin, IL
  • NPI 1588069306
  NPD (past)
• Behavioral Health Care Associates LTD

  dba Behavioral Medicine Health Associates

  • Psychiatry Physician
  • Schaumburg, IL
  • NPI 1164932513
  NPD (past)
• Lotus Wellness Center P.C.

  • Mental Health Counselor
  • Palatine, IL
  • NPI 1114450061
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1649762352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E STATE ST STE 209",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041572",
            "telephone_number": "815-988-8500",
            "fax_number": "815-977-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E STATE ST STE 209",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041572",
            "telephone_number": "815-988-8500",
            "fax_number": "815-977-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Shonta Sanders
• Julie Marie Sanderson, LCSW
• Michelle Marie Sandine, APN
• Krishna Sankaran, MD
• Timothy Sundaram Sankaran, QMHP, MA, LPC
• Savneet Kaur Sonia Saran, M.D.
• Kimberly A Sardegna, OTR/L
• Judith Sargent, MSN
• Fahad Sarvari, MD
• Christine Diane Savage, RNC,APN

• Family Nurse Practitioner in Rockford, IL
• Providers in Rockford, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.

Verify at the official NPI Registry.