Active NPI
Richard Anthony Santucci, MD
- Urology Physician
- West Lake Hills, TX
National Provider Identifier
1669412565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- R5205
- Practice address
- 4407 Bee Caves Rd Ste 612
West Lake Hills, TX 78746-5285 - Phone
- (512) 446-9486
- Fax
- (512) 597-0402
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A63723 | CA | |
| Urology Physician | 208800000X | CDR.0002011 | CO | |
| Urology Physician | 208800000X | R5205 | TX | Primary |
Addresses
Primary practice location
4407 Bee Caves Rd Ste 612
West Lake Hills, TX 78746-5285
Mailing address
4407 Bee Caves Rd Ste 612
West Lake Hills, TX 78746-5285
Phone (512) 446-9486
Other practice location 1
5495 Arapahoe Ave Ste 200
Boulder, CO 80303-1225
Phone (303) 381-2909
Other practice location 2
575 Sir Francis Drake Blvd Ste 1
Greenbrae, CA 94904-2307
Phone (415) 625-3230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669412565 | Medicaid | MI | |
| 4220951 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 15, 2018 through Jul 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63723 | CA | MD | Urology Physician |
| CDR.0002011 | CO | MD | Urology Physician |
| R5205 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Urology | Urology | Past | Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| Brownstein & Crane Surgical Services | Past | Accepting new patients | |
| DMC Orthopedic Billing Associates LLC | Past | Accepting new patients |
Interoperability endpoints
- richard.santucci.1@16041.direct.athenahealth.com
- richard.santucci.1@30614.direct.athenahealth.com
- richard_santucci_-_md@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Specialist
- Greenbrae, CA
- NPI 1881058790
-
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1457387607
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Urology Physician
- Detroit, MI
- NPI 1710910351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1669412565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 BEE CAVES RD STE 612",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465285",
"telephone_number": "512-446-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 BEE CAVES RD STE 612",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465285",
"telephone_number": "512-446-9486",
"fax_number": "512-597-0402"
}
],
"practiceLocations": [
{
"address_1": "5495 Arapahoe Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803031225",
"country_code": "US",
"telephone_number": "303-381-2909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "575 Sir Francis Drake Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Greenbrae",
"state": "CA",
"postal_code": "949042307",
"country_code": "US",
"telephone_number": "415-625-3230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTUCCI",
"first_name": "RICHARD",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A63723",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "CDR.0002011",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "R5205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669412565",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4220951",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.