Marissa T. Santos, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

198043 Issued in NY

Practice address

9229 Queens Blvd
Suite CB
Rego Park, NY 11374-1056

Phone

(718) 478-5600

Fax

(718) 478-5335

NPI assigned

Mar 31, 2006

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 18

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir.healthtogo.me/fhir/r4/criterions.acc
• FHIR API: https://fhir4.healow.com/fhir/r4/CDFEDD
• FHIR API: https://fhir4.healow.com/fhir/r4/JFIBBA
• FHIR API: https://fhir4.healow.com/fhir/r4/JFIBBA/Endpoint/JFIBBA
• Direct secure messaging: marissa.santos@mtsmp.eclinicaldirectplus.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.

• Marissa T Santos, MD PC

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1225153356
  Medicare reassignment NPD Authorized official
• Community Internal Medicine Assoc, PC

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1285759217
  NPD (past) Authorized official
• Advanced Cardiac Care,PLLC

  dba Comprehensive Cardio

  • Specialist
  • Ozone Park, NY
  • NPI 1437334646
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1659332377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 41ST AVE",
            "address_2": "SUITE C2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774028",
            "telephone_number": "718-478-5600",
            "fax_number": "718-478-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD",
            "address_2": "SUITE CB",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741056",
            "telephone_number": "718-478-5600",
            "fax_number": "718-478-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MARISSA",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2592255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE BEN SVC AMERICA",
            "identifier": "41124",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01833536",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "198043B27",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PRESBYTERIAN",
            "identifier": "11P8501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "5816203",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS WOODSIDE",
            "identifier": "0166AF1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "SM8043",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1531786",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "172917",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199NATIONAL BENEFIT FUND",
            "identifier": "470858484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE HMO",
            "identifier": "0403354",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTH PLAN OF NY",
            "identifier": "198043",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "8433171",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1P1113",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426017706",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS HEALTH PLAN",
            "identifier": "113380648SA01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P384086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Moti Sanganee, DPT
• Adrian Sangeorzan, MD
• Marck Santiago, PHYSICAL THERAPIST
• Maria Concepcion Santiago, NP
• Ana M Santos, M.A., CCC-SLP
• Lachin Saparova
• Gurdeep Sareen, PHARM.D.
• Rachal Sarikov
• Maria Sarkissian, LMFT
• Jorge Sarmiento Sr.

• Internal Medicine Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.