Active NPI
Michael Edward Santulli, MD
- Endocrinology, Diabetes & Metabolism Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0101046691
- Practice address
- 1405 Rolkin CT Ste 201
Charlottesville, VA 22911-3586 - Phone
- (434) 295-5155
- Fax
- (434) 295-4612
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101046691 | VA | Primary |
Addresses
Primary practice location
1405 Rolkin CT Ste 201
Charlottesville, VA 22911-3586
Mailing address
1405 Rolkin CT Ste 201
Charlottesville, VA 22911-3586
Phone (434) 295-5155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006063306 | Medicaid | VA | |
| 070176 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090420000560 | VA | Practitioner - Internal Medicine | 8527115062 | Practice locations: Charlottesville, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Virginia School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1405 Rolkin CT
Charlottesville, VA 22911-3586
Phone (434) 295-5155
250 Merchant Walk SQ
Suite 1103
Charlottesville, VA 22902-6511
Phone (434) 328-4900
Hospital & facility affiliations
- Sentara Martha Jefferson Hospital
- Sentara RMH Medical Center
- University of Virginia Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.86 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Hospital | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1811077274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 ROLKIN CT STE 201",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113586",
"telephone_number": "434-295-5155",
"fax_number": "434-295-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 ROLKIN CT STE 201",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113586",
"telephone_number": "434-295-5155",
"fax_number": "434-295-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTULLI",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101046691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006063306",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "070176",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.