NPIMap

Individual provider Active NPI

Jose Ramil Obillos Santos, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Woodbury, MN
National Provider Identifier
1821017385
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
64960 Issued in MN
Practice address
2090 Woodwinds Dr Ste 200
Woodbury, MN 55125
Phone
(651) 968-5200
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME107218 FL
Physical Medicine & Rehabilitation Physician 208100000X 67602-20 WI
Physical Medicine & Rehabilitation Physician 208100000X 8633 SD
Physical Medicine & Rehabilitation Physician 208100000X 64960 MN Primary

Addresses

Primary practice location

2090 Woodwinds Dr Ste 200
Woodbury, MN 55125

Mailing address

2090 Woodwinds Dr Ste 200
Woodbury, MN 55125-2522
Phone (651) 968-5200

Other practice location 1

5200 Hummingbird Rd
Ste 100
Wausau, WI 54401-6312
Phone (715) 359-6442

Other identifiers 1

IdentifierTypeStateIssuer
6632600MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170928000147 WI Practitioner - Pain Management 4284899808 Reassigns benefits to 4 organizations
I20190402000001 MN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4284899808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Area Medical Center IncGroup PAC ID 7911800586, shared by 3 NPIs, 88 clinicians
Summit Orthopedics, LTDGroup PAC ID 8921900374, 282 clinicians

Practice addresses (Care Compare)

1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555

2090 Woodwinds Dr
Woodbury, MN 55125-2522
Phone (651) 968-5201

319 S Main St
River Falls, WI 54022-2452
Phone (651) 968-5201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.24 of 100Reported as individual
Quality
72.55
Promoting interoperability
75
Improvement activities
40
Cost
65.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8633SDMDPhysical Medicine & Rehabilitation Physician
67602-20WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
Summit Orthopedics LTD Current Accepting new patients
Summit Orthopedics LTD CurrentSince May 1, 2019 Accepting new patients
Baldwin Area Medical Center Inc. CurrentSince May 1, 2019 Accepting new patients
Baldwin Area Medical Center, Inc. Current Accepting new patients
Baldwin Area Medical Center, Inc. CurrentSince May 1, 2019 Accepting new patients
Ladd Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
Summit Orthopedics, LTD CurrentSince May 1, 2019 Accepting new patients
Boone County Hospital Past Accepting new patients
Design Neuroscience Center PL PastSince Sep 1, 2006 Accepting new patients
Ilbnc, P.a. Past Accepting new patients

Locations

1285 Nininger Rd
Ste 107
Hastings, MN 55033
Phone (651) 968-5412

2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142

1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300

3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600

2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801

2090 Woodwinds Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5600

710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

319 S Main St
River Falls, WI 54022
Phone (715) 425-6701

Interoperability endpoints

  • Direct secure messaging: joseramilsantos@sol.allscriptsdirect.net
  • Direct secure messaging: jsantos414038@excellian.direct.allina.com

Organizations & group practices 11

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1821017385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 WOODWINDS DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252522",
            "telephone_number": "651-968-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 WOODWINDS DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-968-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Hummingbird Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544016312",
            "country_code": "US",
            "telephone_number": "715-359-6442",
            "fax_number": "715-393-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JOSE RAMIL",
        "middle_name": "OBILLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME107218",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "67602-20",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "8633",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "64960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6632600",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.