NPIMap

Individual provider Active NPI

Santiago Arruffat, M.D.

  • Colon & Rectal Surgery Physician
  • Evansville, IN
National Provider Identifier
1730132440
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
01062345 Issued in IN
Practice address
950 S Kenmore Dr Ste B
Evansville, IN 47714-7513
Phone
(812) 301-8110
Fax
(812) 401-4001
NPI assigned
May 17, 2006
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 01062345 IN Primary

Addresses

Primary practice location

950 S Kenmore Dr Ste B
Evansville, IN 47714-7513

Mailing address

950 S Kenmore Dr Ste B
Evansville, IN 47714-7513
Phone (812) 301-8110

Other practice location 1

801 Saint Marys Dr
Ste 300W & 205W
Evansville, IN 47714-0511
Phone (812) 477-9241

Other identifiers 4

IdentifierTypeStateIssuer
7100011090MedicaidKY
01062345AOtherINSTATE LICENSE
000000488625OtherINANTHEM BC/BS
200824950MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000351 IN Practitioner - Colorectal Surgery (Proctology) 8921004961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evansville Colorectal Surgery LLCGroup PAC ID 6204296023, 2 clinicians

Practice addresses (Care Compare)

3922 Venetian Way
Suite 2
Newburgh, IN 47630-7958
Phone (812) 999-3277

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy186
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux39
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062345INMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Colorectal Group, LLC Colon & Rectal Surgery CurrentSince Nov 3, 2017 Accepting new patients
Evansville Colorectal Surgery, LLC Colon & Rectal Surgery CurrentSince Jun 1, 2023 Accepting new patients
Owensboro Dermatology Associates, PSC PastSince Jun 1, 2023 Accepting new patients

Locations

950 S Kenmore Dr
Ste B
Evansville, IN 47714
Phone (812) 301-8110

3922 Venetian Way
Ste 2
Newburgh, IN 47630
Phone (270) 685-5777

Interoperability endpoints

  • Direct secure messaging: sarruffat25625@direct.deaconess.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1730132440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S KENMORE DR STE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477147513",
            "telephone_number": "812-301-8110",
            "fax_number": "812-401-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S KENMORE DR STE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477147513",
            "telephone_number": "812-301-8110",
            "fax_number": "812-401-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Saint Marys Dr",
            "address_2": "Ste 300W & 205W",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140511",
            "country_code": "US",
            "telephone_number": "812-477-9241",
            "fax_number": "812-474-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARRUFFAT",
        "first_name": "SANTIAGO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01062345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100011090",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01062345A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000488625",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200824950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.