Active NPI
Gabriel Fernando Santiago, M.D.
- Neurological Surgery Physician
- MC Lean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- D0081920
- Practice address
- 1300 Chain Bridge Rd FL 2
MC Lean, VA 22101-3935 - Phone
- (703) 688-8918
- NPI assigned
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D81920 | MD | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | D0081920 | MD | |
| Neurological Surgery Physician | 207T00000X | D0081920 | MD | Primary |
Addresses
Primary practice location
1300 Chain Bridge Rd FL 2
MC Lean, VA 22101-3935
Mailing address
601 N Caroline St
Jhoc 8161
Baltimore, MD 21287-0006
Other practice location 1
601 N Caroline St
Jhoc 8161
Baltimore, MD 21287-0006
Phone (410) 955-9472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Icahn School of Medicine at Mount Sinai, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 Langhorne Newtown Rd
Suite 211
Langhorne, PA 19047-1221
Phone (844) 464-6387
1300 Chain Bridge Rd
FL 2
MC Lean, VA 22101-3935
Phone (443) 646-5001
Hospital & facility affiliations
- Inova Fairfax Hospital
- St Mary Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0081920 | MD | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Medicine and Surgery, PLLC | Neurological Surgery | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Neurological Surgery | Current | Accepting new patients |
| McLean Rhinoplasty, ENT & Sinus PLLC | Otolaryngology | Current | Accepting new patients |
| Gni Neuroservices LLC | Neurological Surgery | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Otolaryngology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Neurological Surgery | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Global Neurosciences Institute LLC | Neurological Surgery | Past | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
601 N Caroline St
#8161
Baltimore, MD 21287
Phone (410) 502-7381
16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-1791
10 Route 31 N
Pennington, NJ 08534
Phone (609) 303-3064
1205 Langhorne Newtown Rd
Ste 211
Langhorne, PA 19047
Phone (215) 335-6000
160 E Erie Ave
Ste A308
Philadelphia, PA 19134
116 S Elmer Ave
Sayre, PA 18840
Phone (570) 887-2849
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
1300 Chain Bridge Rd
Fl 2
McLean, VA 22101
Phone (443) 646-5001
Interoperability endpoints
- gsantiago3409023@direct.trinity-health.org
- https://fhir4.healow.com/fhir/r4/IBJDCD
- gabriel.santiago@gni.eclinicaldirectplus.com
- gsantiago91075@direct-guthrie.org
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.
-
- Neurological Surgery Physician
- Falls Church, VA
- NPI 1982424388
DC
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Specialist
- Baltimore, MD
- NPI 1104832948
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
Neurological Surgery
-
- Otolaryngology Physician
- Sayre, PA
- NPI 1760434112
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Neurological Surgery Physician
- Bethesda, MD
- NPI 1578569240
-
- Neurological Surgery Physician
- Chester, PA
- NPI 1275933228
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1851608954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N CAROLINE ST",
"address_2": "JHOC 8161",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 CHAIN BRIDGE RD FL 2",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013935",
"telephone_number": "703-688-8918"
}
],
"practiceLocations": [
{
"address_1": "601 N Caroline St",
"address_2": "JHOC 8161",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870006",
"country_code": "US",
"telephone_number": "410-955-9472",
"fax_number": "410-614-1296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "GABRIEL",
"middle_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-10",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D81920",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MD",
"license": "D0081920",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MD",
"license": "D0081920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.