Individual provider Active NPI

Paul A Santolucito, M.D.

  • Cardiovascular Disease Physician
  • Southbridge, MA
National Provider Identifier
1720151806
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
230455 Issued in MA
Practice address
100 South St
Suite 102
Southbridge, MA 01550-4051
Phone
(508) 764-6041
Fax
(508) 764-6318
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230455 MA
Cardiovascular Disease Physician 207RC0000X 230455 MA Primary

Addresses

Primary practice location

100 South St
Suite 102
Southbridge, MA 01550-4051

Mailing address

100 South St
Suite 102
Southbridge, MA 01550-4051
Phone (508) 764-6041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20100806000665 MA Practitioner - Cardiovascular Disease (Cardiology) 4486787769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Massachusetts Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

10 N Main St
Charlton, MA 01507-1590
Phone (508) 248-3015

100 S St
Southbridge, MA 01550-4051
Phone (508) 765-9771

118 W Main St
Spencer, MA 01562-2621
Phone (508) 885-3025

255 E Old Sturbridge Rd
Brimfield, MA 01010-9647
Phone (413) 245-0966

340 Thompson Rd
Webster, MA 01570-1509
Phone (508) 943-5132

369 Main St
Spencer, MA 01562-1900
Phone (508) 885-3922

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

55 Sayles St
Southbridge, MA 01550-1729
Phone (508) 764-2400

78 Sutton Ave
Oxford, MA 01540-1813
Phone (508) 499-1760

79 Sayles St
Southbridge, MA 01550-1729
Phone (508) 764-6041

Hospital & facility affiliations

  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Health-Harrington Hospital Inc CurrentSince Jul 1, 2010 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients

Locations

100 South St
Ste 102
Southbridge, MA 01550
Phone (508) 765-7860

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

118 W Main St
Spencer, MA 01562
Phone (508) 885-3025

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: paulsantolucito@hps.allscriptsdirect.net

Organizations & group practices 3

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 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1720151806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST",
            "address_2": "SUITE 102",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504051",
            "telephone_number": "508-764-6041",
            "fax_number": "508-764-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST",
            "address_2": "SUITE 102",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504051",
            "telephone_number": "508-764-6041",
            "fax_number": "508-764-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOLUCITO",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "230455",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "230455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

Verify at the official NPI Registry.