Individual provider Active NPI

Liborio Leo Santoro Jr., DPM

  • Podiatrist
  • Ann Arbor, MI
National Provider Identifier
1821184284
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
LS001090 Issued in MI
Practice address
2440 W Stadium Blvd
Ann Arbor, MI 48103
Phone
(734) 665-1215
Fax
(734) 665-2011
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LS001090 MI Primary

Addresses

Primary practice location

2440 W Stadium Blvd
Ann Arbor, MI 48103

Mailing address

2440 W Stadium Blvd
Ann Arbor, MI 48103-3847
Phone (734) 665-1215

Other identifiers 2

IdentifierTypeStateIssuer
485815006OtherMIBLUE CROSS
1446098MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000665 MI Practitioner - Podiatry 7719135276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2440 W Stadium Blvd
Liborio L Santoro Jr DPM
Ann Arbor, MI 48103-3847
Phone (734) 665-1215

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue362
Removal or shaving of skin growth78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LS001090MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Liborio L Santoro DPM PC Podiatrist CurrentSince Jun 30, 1983 Accepting new patients

Locations

2440 W Stadium Blvd
Ste A
Ann Arbor, MI 48103
Phone (313) 665-1215

2440 W Stadium Blvd
#L
Ann Arbor, MI 48103
Phone (734) 665-1215

2440 W Stadium Blvd
Ste 1
Ann Arbor, MI 48103
Phone (313) 665-1215

2440 W Stadium Blvd
Ann Arbor, MI 48103
Phone (734) 665-1215

1620 Commerce Park Dr
#L
Chelsea, MI 48118
Phone (734) 433-0842

5025 Ann Arbor Rd
Jackson, MI 49201
Phone (517) 750-0500

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1821184284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 W STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033847",
            "telephone_number": "734-665-1215",
            "fax_number": "734-665-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-665-1215",
            "fax_number": "734-665-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "LIBORIO",
        "middle_name": "LEO",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "LS001090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "485815006",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1446098",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.