Individual provider Active NPI

Inkyung Kim Santiago, M.D

  • Internal Medicine Physician
  • Decatur, AL
National Provider Identifier
1780856781
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30043 Issued in AL
Practice address
1350 14TH Ave SE
Decatur, AL 35601-4364
Phone
(256) 355-6911
NPI assigned
Mar 31, 2008
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30043 AL Primary

Addresses

Primary practice location

1350 14TH Ave SE
Decatur, AL 35601-4364

Mailing address

261 Wedgewood Terrace Rd
Madison, AL 35757-8911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20151021000581 AL Practitioner - Internal Medicine 9436468170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Medical Associates, L. L. C.Group PAC ID 4688691918, 7 clinicians

Practice addresses (Care Compare)

646 Cox Creek Pkwy
Suite B
Florence, AL 35630-1189
Phone (256) 760-4544

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Medical Associates, L. L. C. Internal Medicine CurrentSince Nov 2, 2015 Accepting new patients
Ecm Health Group LLC CurrentSince Sep 1, 2015 Accepting new patients
Alignmed Partners, PC CurrentSince Jul 25, 2022 Accepting new patients

Locations

1350 14th Ave SE
Decatur, AL 35601
Phone (256) 355-6911

11348 Highway 20
Florence, AL 35633
Phone (256) 764-6087

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

646 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 760-4544

646 Cox Creek Pkwy
Ste B
Florence, AL 35630
Phone (256) 760-4544

420 Dean Dr
Gardendale, AL 35071
Phone (205) 631-8700

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 6

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1780856781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 WEDGEWOOD TERRACE RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357578911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014364",
            "telephone_number": "256-355-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "INKYUNG",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "30043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.