Individual provider Active NPI

Santiago Angaramo

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1669114468
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD494247 Issued in PA
Practice address
840 Walnut St Ste 1110
Philadelphia, PA 19107-5180
Phone
(215) 928-3197
Fax
(215) 928-0166
NPI assigned
Apr 12, 2022
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD494247 PA Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD494247 PA

Addresses

Primary practice location

840 Walnut St Ste 1110
Philadelphia, PA 19107-5180

Mailing address

840 Walnut St Ste 1110
Philadelphia, PA 19107-5180
Phone (215) 928-3197

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
I20260526000056 PA Practitioner - Ophthalmology 3173902657

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Ohio State University Wexner Medical Center Student in an Organized Health Care Education/Training Program CurrentSince Jun 3, 2025 Accepting new patients

Locations

395 W 12th Ave
Fl Third
Columbus, OH 43210

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, 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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1669114468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075180",
            "telephone_number": "215-928-3197",
            "fax_number": "215-928-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075180",
            "telephone_number": "215-928-3197",
            "fax_number": "215-928-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGARAMO",
        "first_name": "SANTIAGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD494247",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PA",
            "license": "MD494247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.