Individual provider Active NPI

Kathylee Santangelo, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oklahoma City, OK
National Provider Identifier
1811090095
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
17177 Issued in OK
Practice address
5625 N Western Ave
Oklahoma City, OK 73118-4007
Phone
(405) 739-6596
Fax
(405) 869-7012
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 17177 OK Primary

Addresses

Primary practice location

5625 N Western Ave
Oklahoma City, OK 73118-4007

Mailing address

5625 N Western Ave
Oklahoma City, OK 73118-4007
Phone (405) 739-6596

Other identifiers 1

IdentifierTypeStateIssuer
OK700852OtherOKPTAN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070309000279 OK Practitioner - Vascular SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Thoracic SurgeryPractitioner - Preventive MedicinePractitioner - Cardiac Surgery 8426039082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Peripheral Vascular Disease, Preventive Medicine
Education
Hahnemann University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5625 N Western Ave
Oklahoma City, OK 73118-4007
Phone (405) 739-6596

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kathylee Santangelo, M.D., P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2002 Accepting new patients
Oklahoma Vascular and Embolization Center by Flex Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Midwest City Hma Physician Management, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

8855 E Reno Ave
Ste 204
Midwest City, OK 73110
Phone (405) 739-6596

238 N Midwest Blvd
Ste 201
Midwest City, OK 73110
Phone (405) 733-4985

1145 W I 240 Service Rd
Ste F100
Oklahoma City, OK 73139
Phone (405) 898-9048

8324 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 473-6866

5625 N Western Ave
Oklahoma City, OK 73118
Phone (405) 739-6596

Interoperability endpoints

  • Direct secure messaging: kathylee.santangelo.1@5817.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1811090095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184007",
            "telephone_number": "405-739-6596",
            "fax_number": "405-869-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184007",
            "telephone_number": "405-739-6596",
            "fax_number": "405-869-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANGELO",
        "first_name": "KATHYLEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "17177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN #",
            "identifier": "OK700852",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.