Individual provider Active NPI

Alexis Christine Santiago Drakatos, M.D.

  • Pediatrics Physician
  • Huntington, NY
National Provider Identifier
1659690485
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
270313 Issued in NY
Practice address
241 E Main St Unit 2a
Huntington, NY 11743-2917
Phone
(631) 824-6683
Fax
(631) 824-6687
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 270313 NY Primary

Addresses

Primary practice location

241 E Main St Unit 2a
Huntington, NY 11743-2917

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-0650

Other names 1

  • Dr. Alexis Christine Santiago Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALEXIS.SANTIAGODRAKATOS@DIRECT.STONYBROOKMEDICINE.ED

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160816001194 NY Practitioner - Pediatric Medicine 7214221183 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince May 1, 2024 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients

Locations

241 E Main St
Unit 2A
Huntington, NY 11743
Phone (631) 824-6683

241 E Main St
Huntington, NY 11743
Phone (631) 351-3700

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: alexis.santiagodrakatos@direct.stonybrookmedicine.ed
  • Direct secure messaging: alexis.santiago@direct.stonybrookmedicine.edu
  • Direct secure messaging: alexissantiago@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1659690485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-444-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 E MAIN ST UNIT 2A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432917",
            "telephone_number": "631-824-6683",
            "fax_number": "631-824-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO DRAKATOS",
        "first_name": "ALEXIS",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "270313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALEXIS.SANTIAGODRAKATOS@DIRECT.STONYBROOKMEDICINE.ED",
            "affiliation": "N",
            "address_1": "260 E Middle Country Rd",
            "address_2": "Suite 107",
            "city": "Smithtown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117872982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "SANTIAGO",
            "middle_name": "CHRISTINE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.