Individual provider Active NPI

Robert Santiago, M.D.

  • General Practice Physician
  • Galion, OH
National Provider Identifier
1720121213
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35-05-7517 Issued in OH
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1076649OtherOHWORKER'S COMP EMPL. RISK
0759362MedicaidOH
35-05-7517OtherOHOHIO 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001021 OH Practitioner - General PracticePractitioner - Emergency Medicine 5890989479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
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 Home health agency, Solon, OH, CCN 368104
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
  • Avita Ontario Hospital, Ontario, OH, CCN 360365

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Santiago, MD, Inc. General Practice CurrentSince Jun 1, 1988 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.