Individual provider Active NPI

Joseph T Santoso, MD

  • Gynecologic Oncology Physician
  • Memphis, TN
National Provider Identifier
1720010648
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
34845 Issued in TN
Practice address
80 Humphreys Center Dr Ste 202
Memphis, TN 38120-2361
Phone
(901) 226-4280
Fax
(901) 226-4282
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 18309 MS
Gynecologic Oncology Physician 207VX0201X 34845 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 202
Memphis, TN 38120-2361

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040325001331 MS Practitioner - Gynecological OncologyPractitioner - Critical Care (Intensivists) 4082506019 Reassigns benefits to 1 organization
I20050217000859 TN Practitioner - Gynecological Oncology 4082506019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of California, Davis School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130

80 Humphreys Ctr Dr
Suite 202
Memphis, TN 38120-2361
Phone (901) 227-9820

Hospital & facility affiliations

  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
  • Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Mar 1, 2017 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 1, 2017 Accepting new patients
Baptist Memorial Hospital Past Accepting new patients
Baptist Memorial Hospital-Tipton Past Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

80 Humphreys Center Dr
Ste 202
Memphis, TN 38120
Phone (901) 226-4280

80 Humphreys Center Dr
Ste 330
Memphis, TN 38120
Phone (901) 752-6131

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

Interoperability endpoints

  • Direct secure messaging: jsantoso27806@mlh.direct-ci.com
  • Direct secure messaging: jsantoso14361@direct.bmhcc.org

Organizations & group practices 5

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 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1720010648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202361",
            "telephone_number": "901-226-4280",
            "fax_number": "901-226-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOSO",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MS",
            "license": "18309",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "34845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.