Individual provider Active NPI

Samuel S Santiago, MD

  • Internal Medicine Physician
  • Lufkin, TX
National Provider Identifier
1689684227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1450 Issued in TX
Practice address
202 S Bynum
Lufkin, TX 75904
Phone
(936) 632-9277
Fax
(936) 632-9285
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L1450 TX Primary

Addresses

Primary practice location

202 S Bynum
Lufkin, TX 75904

Mailing address

202 S Bynum
Lufkin, TX 75904
Phone (936) 632-9277

Other identifiers 2

IdentifierTypeStateIssuer
8N2701OtherTXBCBS OF TX
142829401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040806000906 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 3173595584 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lufkin Physician Services PAGroup PAC ID 1153542998, 21 clinicians

Practice addresses (Care Compare)

505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone (936) 634-8311

Hospital & facility affiliations

  • Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1450TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Current Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Sep 28, 2014 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Lufkin Physician Services PA CurrentSince Nov 16, 2014 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jul 14, 2014 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Sep 28, 2014 Accepting new patients
Lufkin Adult Medicine Clinic CurrentSince Apr 1, 2001 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 14, 2014 Accepting new patients
Angelina Physician Services PA Past Accepting new patients
Piney Woods Healthcare System, L.P. Past Accepting new patients
Apogee Medical Group Texas PA Internal Medicine PastSince Oct 8, 2023 Accepting new patients

Locations

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

202 S Bynum St
Lufkin, TX 75904
Phone (862) 290-7727

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11715/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689684227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S BYNUM",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-9277",
            "fax_number": "936-632-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S BYNUM",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-9277",
            "fax_number": "936-632-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8N2701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142829401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.