Individual provider Active NPI

Ricardo N Santiago, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1720162811
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
202437 Issued in NY
Practice address
1957 Coney Island Ave.
Brooklyn, NY 11223
Phone
(347) 407-4073
Fax
(718) 686-1723
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 202437 NY Primary
Rehabilitation Practitioner 225400000X 202437 NY

Addresses

Primary practice location

1957 Coney Island Ave.
Brooklyn, NY 11223

Mailing address

7917 18 Ave.
2ND Floor
Brooklyn, NY 11214-1703
Phone (646) 643-4267

Other identifiers 6

IdentifierTypeStateIssuer
01846395MedicaidNY
RS096E0210OtherNYBLUE CROSS BLUE SHIELD
202437OtherNYHIP
P2099873OtherNYOXFORD
2799800OtherNYGHI
164456OtherNYELDERPLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041001000180 NY Practitioner - Physical Medicine and Rehabilitation 8628047065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

824 55TH St
BSMT
Brooklyn, NY 11220-3263
Phone (718) 686-1733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202437NYMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo N Santiago MD PC CurrentSince Jun 13, 2000 Accepting new patients
Pelham Physical Medicine Inc Past Accepting new patients
Pelham Physical Medicine Inc Past Accepting new patients

Locations

6801 Fort Hamilton Pkwy
Brooklyn, NY 11219
Phone (347) 909-7041

5434 2nd Ave
Brooklyn, NY 11220
Phone (516) 334-3838

4014 72nd St
Ste G
Woodside, NY 11377
Phone (718) 779-6343

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1720162811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 18 AVE.",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141703",
            "telephone_number": "646-643-4267",
            "fax_number": "347-492-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 CONEY ISLAND AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "347-407-4073",
            "fax_number": "718-686-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "RICARDO",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "202437",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "202437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01846395",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RS096E0210",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "202437",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2099873",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2799800",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "164456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.