Individual provider Active NPI

Cory Santero

  • Physician Assistant
  • Inverness, FL
National Provider Identifier
1740900174
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
308 W Highland Blvd
Inverness, FL 34452-4716
Phone
(352) 726-8353
NPI assigned
Aug 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

308 W Highland Blvd
Inverness, FL 34452-4716

Mailing address

5761 S Barco Ter
Inverness, FL 34452-8477
Phone (352) 422-6210

Other practice location 1

5606 W Norvell Bryant Hwy
Crystal River, FL 34429-7572
Phone (352) 795-9266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916000039 FL Practitioner - Physician Assistant 1850776550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Cardiology Consultants, PLLCGroup PAC ID 6103710835, 48 clinicians

Practice addresses (Care Compare)

211 S Osceola Ave
Inverness, FL 34452-4729
Phone (352) 726-8353

308 W Highland Blvd
Inverness, FL 34452-4716
Phone (352) 726-8353

540 N Lecanto Hwy
Lecanto, FL 34461-8547
Phone (352) 423-1013

7955 S Suncoast Blvd
Homosassa, FL 34446-5005
Phone (352) 795-9266

Hospital & facility affiliations

  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Sep 7, 2022 Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Sep 7, 2022 Accepting new patients

Locations

5606 W Norvell Bryant Hwy
Crystal River, FL 34429
Phone (352) 795-9266

8281 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 597-2664

7955 S Suncoast Blvd
Homosassa Springs, FL 34446
Phone (352) 382-5000

308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353

2797 W Gulf To Lake Hwy
Lecanto, FL 34461
Phone (352) 423-1013

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD
  • Direct secure messaging: csantero296815@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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 1

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1740900174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 S BARCO TER",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344528477",
            "telephone_number": "352-422-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524716",
            "telephone_number": "352-726-8353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5606 W Norvell Bryant Hwy",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344297572",
            "country_code": "US",
            "telephone_number": "352-795-9266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTERO",
        "first_name": "CORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.