Individual provider Active NPI

David C Santamore, MD

  • Anesthesiology Physician
  • Aberdeen, MD
National Provider Identifier
1750349536
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0061490 Issued in MD
Practice address
1111 Beards Hill Road
Suite 700
Aberdeen, MD 21001
Phone
(410) 273-9096
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0061490 MD Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X D0061490 MD

Addresses

Primary practice location

1111 Beards Hill Road
Suite 700
Aberdeen, MD 21001

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other identifiers 1

IdentifierTypeStateIssuer
404862800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040806000280 MD Practitioner - Anesthesiology 5294707725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 Beards Hill Rd
Suite 700
Aberdeen, MD 21001-2275
Phone (410) 273-9096

Merit-based Incentive Payment System (MIPS)

Final score
68.33 of 100Reported as individual
Quality
36.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Securus Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2007 Accepting new patients
Physicians Pain Care, LLC Anesthesiology Past Accepting new patients
University Anesthesiology Associates PSC Anesthesiology Past Accepting new patients

Locations

1111 Beards Hill Rd
Ste 700
Aberdeen, MD 21001
Phone (240) 394-4365

209 Thomas St
Bel Air, MD 21014
Phone (410) 638-5523

940 Seton Dr
Cumberland, MD 21502
Phone (301) 777-2543

360 E Pulaski Hwy
Ste 2A
Elkton, MD 21921
Phone (410) 620-3348

103 Chesapeake Blvd
Ste C
Elkton, MD 21921
Phone (410) 392-6133

141 Thomas Johnson Dr
Ste 141
Frederick, MD 21702
Phone (301) 668-9707

220 Champion Dr
Hagerstown, MD 21740
Phone (310) 791-0888

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1750349536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BEARDS HILL ROAD",
            "address_2": "SUITE 700",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "21001",
            "telephone_number": "410-273-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAMORE",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0061490",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0061490",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404862800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.