Individual provider Active NPI

Ria Asistin Santos, M.D.

  • Family Medicine Physician
  • Florence, KY
National Provider Identifier
1669611653
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42504 Issued in KY
Practice address
7766 Ewing Blvd
Florence, KY 41042-7537
Phone
(859) 371-1153
Fax
(859) 647-5113
NPI assigned
Feb 13, 2009
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42504 KY Primary

Addresses

Primary practice location

7766 Ewing Blvd
Florence, KY 41042-7537

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 371-1153

Other identifiers 4

IdentifierTypeStateIssuer
7100097500MedicaidKY
3079761MedicaidOH
P00750395OtherKYRAILROAD MEDICARE
P00856620OtherKYRAILROAD MEDICARE

Other names 1

  • Ria Asistin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090928000530 KY Practitioner - Family Practice 4385790690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

7766 Ewing Blvd L
Florence, KY 41042-7537
Phone (859) 371-1153

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Summit Medical Group, Inc Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
Cincinnati Healthcare Group PSC, Dba Patient First Physicians Group Family Medicine Past Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients

Locations

340 Thomas More Pkwy
#160
Crestview Hills, KY 41017

7766 Ewing Blvd
Florence, KY 41042
Phone (859) 371-1153

7766 Ewing Blvd
#L
Florence, KY 41042
Phone (859) 371-1153

7766 Ewing Blvd
Ste L
Florence, KY 41042
Phone (859) 371-1153

8780 US Highway 42
Florence, KY 41042
Phone (859) 384-2660

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: rsantos5853@direct-prd.stelizabeth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1669611653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-371-1153",
            "fax_number": "859-647-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 EWING BLVD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410427537",
            "telephone_number": "859-371-1153",
            "fax_number": "859-647-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "RIA",
        "middle_name": "ASISTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "42504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100097500",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079761",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00750395",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00856620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIA",
            "last_name": "ASISTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.