Active NPI
Robert Santiago, M.D.
- General Practice Physician
- Galion, OH
National Provider Identifier
1720121213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35-05-7517
- Practice address
- 396 Portland Way N
Galion, OH 44833-1115 - Phone
- (419) 462-5543
- Fax
- (419) 462-2058
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 35-05-7517 | OH | Primary |
Addresses
Primary practice location
396 Portland Way N
Galion, OH 44833-1115
Mailing address
247 Glen Village CT
Powell, OH 43065-9677
Phone (614) 431-8869
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076649 | Other | OH | WORKER'S COMP EMPL. RISK |
| 0759362 | Medicaid | OH | |
| 35-05-7517 | Other | OH | OHIO MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Puerto Rico School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
396 Portland Way N
Galion, OH 44833-1115
Phone (419) 462-5543
Hospital & facility affiliations
- Centerwell Home Health II
- Galion Community Hospital
- Ohiohealth Mansfield Hospital
- Bucyrus Community Hospital
- Avita Ontario
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Santiago, MD, Inc. | General Practice | Current | Accepting new patients |
| Premier Injury Medicine, LLC | Past | Accepting new patients |
Locations
396 Portland Way N
Galion, OH 44833
Phone (419) 462-5543
Interoperability endpoints
- robert.santiago@glacecentral.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Galion, OH
- NPI 1578731972
-
- Occupational Medicine Clinic/Center
- Columbus, OH
- NPI 1851755052
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
-
- Critical Access Hospital
- Bucyrus, OH
- NPI 1104914274
-
- Critical Access Hospital
- Galion, OH
- NPI 1215907522
-
- General Acute Care Hospital
- Mansfield, OH
- NPI 1790837235
-
- Home Health Agency
- Ontario, OH
- NPI 1023318565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1720121213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 GLEN VILLAGE CT",
"city": "POWELL",
"state": "OH",
"postal_code": "430659677",
"telephone_number": "614-431-8869",
"fax_number": "614-431-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 PORTLAND WAY N",
"city": "GALION",
"state": "OH",
"postal_code": "448331115",
"telephone_number": "419-462-5543",
"fax_number": "419-462-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35-05-7517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMP EMPL. RISK",
"identifier": "1076649",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0759362",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAL LICENSE",
"identifier": "35-05-7517",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.