Individual provider Active NPI

Richard Anthony Santucci, MD

  • Urology Physician
  • West Lake Hills, TX
National Provider Identifier
1669412565
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R5205 Issued in TX
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

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1669412565MedicaidMI
4220951MedicaidMI

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
A63723CAMDUrology Physician
CDR.0002011COMDUrology Physician
R5205TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Urology Urology Past Accepting new patients
University Physician Group Past Accepting new patients
Brownstein & Crane Surgical Services PastSince May 25, 2025 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richard.santucci.1@16041.direct.athenahealth.com
  • Direct secure messaging: richard.santucci.1@30614.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.