Individual provider Active NPI

Maria Eugenia Santiago, MD

  • Neurology Physician
  • Naples, FL
National Provider Identifier
1801819396
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
96767 Issued in FL
Practice address
3200 Bailey LN Ste 200
Naples, FL 34105-8523
Phone
(239) 262-8971
Fax
(239) 262-2537
NPI assigned
Jul 25, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17351 MS
Neurology Physician 2084N0400X 96767 FL Primary

Addresses

Primary practice location

3200 Bailey LN Ste 200
Naples, FL 34105-8523

Mailing address

3200 Bailey LN Ste 200
Naples, FL 34105-8523
Phone (239) 262-8971

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Maria.santiago@collierneurologic.directbygreenway.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070212000415 FL Practitioner - Neurology 9830191451 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96767FLMDNeurology Physician
17351MSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Neurologic Specialists LLC Neurology CurrentSince Oct 1, 2006 Accepting new patients

Locations

3200 Bailey Ln
Ste 200
Naples, FL 34105
Phone (239) 262-1721

730 Goodlette Rd
Ste 100C
Naples, FL 34102
Phone (239) 403-7382

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGGCD
  • Direct secure messaging: maria.santiago@collierneurologic.directbygreenway.com

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1801819396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BAILEY LN STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341058523",
            "telephone_number": "239-262-8971",
            "fax_number": "239-262-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BAILEY LN STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341058523",
            "telephone_number": "239-262-8971",
            "fax_number": "239-262-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MARIA",
        "middle_name": "EUGENIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "17351",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "96767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maria.santiago@collierneurologic.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 Bailey Ln Ste 200",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341058523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.