Individual provider Active NPI

Angelo Noel Santos, M.D.

  • Vascular Surgery Physician
  • Sioux Falls, SD
National Provider Identifier
1861628059
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
8433 Issued in SD
Practice address
3801 S Elmwood Ave
Sioux Falls, SD 57105-6565
Phone
(605) 306-6100
Fax
(605) 306-6500
NPI assigned
Jun 2, 2009
Last updated
Aug 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD442070 PA
Vascular Surgery Physician 2086S0129X 8433 SD Primary

Addresses

Primary practice location

3801 S Elmwood Ave
Sioux Falls, SD 57105-6565

Mailing address

3801 S Elmwood Ave
Sioux Falls, SD 57105-6565
Phone (605) 306-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asantos@dakotavascular.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120808000803 SD Practitioner - Vascular SurgeryPractitioner - General Surgery 4486800380 Reassigns benefits to 1 organization
I20180820000001 MN Practitioner - Vascular Surgery 4486800380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
West Virginia University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Vascular Prof LLCGroup PAC ID 9931588399, 6 clinicians

Practice addresses (Care Compare)

2042 Juniper Ave
Slayton, MN 56172-1017
Phone (605) 306-6100

2150 Hospital Dr
Windom, MN 56101-1287
Phone (605) 306-6100

3801 S Elmwood Ave
Sioux Falls, SD 57105-6565
Phone (605) 306-6100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal65
Leg revascularization (restoring blood flow)68
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD442070PAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic Current Accepting new patients
Dakota Vascular Prof LLC Vascular Surgery CurrentSince Aug 1, 2022 Accepting new patients
Avera Marshall CurrentSince May 1, 2023 Accepting new patients
Avera Marshall Current Accepting new patients
Sanford Clinic CurrentSince Jul 3, 2018 Accepting new patients
Avera Marshall CurrentSince May 1, 2023 Accepting new patients

Locations

2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

591 2nd Ave N
Windom, MN 56101
Phone (507) 831-2223

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

1680 Diagonal Rd
Worthington, MN 56187
Phone (507) 372-3800

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

3801 S Elmwood Ave
Sioux Falls, SD 57105
Phone (605) 336-3142

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

2420 9th Ave SE
Watertown, SD 57201
Phone (605) 878-2600

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

2001 Broadway Ave
Yankton, SD 57078
Phone (605) 520-0477

Interoperability endpoints

  • Direct secure messaging: asantos@dakotavascular.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1861628059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S ELMWOOD AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056565",
            "telephone_number": "605-306-6100",
            "fax_number": "605-306-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S ELMWOOD AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056565",
            "telephone_number": "605-306-6100",
            "fax_number": "605-306-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ANGELO",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD442070",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SD",
            "license": "8433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asantos@dakotavascular.com",
            "affiliation": "N",
            "address_1": "3801 S Elmwood Ave",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571056565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.