Alberto Santos III, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L5125 Issued in TX

Practice address

12111 Ranch Road 12 Ste 114
Wimberley, TX 78676-5245

Phone

(512) 537-8950

Fax

(866) 616-7615

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Blue Bonnet Palliative Care, PLLC

  • Community Based Hospice Care Agency
  • Wimberley, TX
  • NPI 1770873895

  Corporate Director, Corporate Officer

  CMS ownership

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.

• Southwest Family Medicine, P.a.

  • Family Medicine Physician
  • San Marcos, TX
  • NPI 1013045988
  NPD (past) Authorized official
• Blue Bonnet Palliative Care, PLLC

  • Community Based Hospice Care Agency
  • Wimberley, TX
  • NPI 1770873895

  Family Medicine

  NPD
• True Living Home Health, LLC

  • Home Health Agency
  • Wimberley, TX
  • NPI 1962040253
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1659483261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12111 RANCH ROAD 12 STE 114",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765245",
            "telephone_number": "512-537-8950",
            "fax_number": "866-616-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 RANCH ROAD 12 STE 114",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765245",
            "telephone_number": "512-537-8950",
            "fax_number": "866-616-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ALBERTO",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "L5125",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Roe, D.D.S
• Linda Kaye Rogers, LCSW
• Jennifer Miller Sabatier, M.A.
• Jeremy Daniel Salas, DPT
• Wendy Salopek
• Justin Robert Schaack, DDS
• Sebring Clinic
• Lane Sebring, M.D.
• Virginia T Segura, CRPHT
• Emily J Sousa, LPC, CEC

• Family Medicine Physician in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.