Eric Eugene Santos, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036.117681 Issued in IL

Practice address

600 E 1St St
St Margaret'S Hospital/Department of Pathology
Spring Valley, IL 61362-1512

Phone

(815) 664-1470

Fax

(815) 664-1141

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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.

• Peoria Tazewell Pathology Group, S.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Peoria, IL
  • NPI 1578597738

  Anatomic Pathology & Clinical Pathology, IA, IL

  Medicare reassignment Care Compare group NPD
• Valley Pathology, S.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Spring Valley, IL
  • NPI 1194073288

  IL

  Medicare reassignment Authorized official
• Ruben E Santos, MD, SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Spring Valley, IL
  • NPI 1114110780

  Anatomic Pathology & Clinical Pathology

  NPD Authorized official
• Genesis Medical Education Foundation Inc

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1659322931
  NPD (past)

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

• Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
  • NPI 1154117521

  Hospital

  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632

  Hospital

  Care Compare affiliation

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• St. Margaret'S Health - Spring Valley

  • General Acute Care Hospital
  • Spring Valley, IL
  • NPI 1861494072

  Corporate Director

  CMS ownership
• St. Margaret'S Health-Peru

  • General Acute Care Hospital
  • Peru, IL
  • NPI 1902800535

  Corporate Director

  CMS ownership

Specialty

Pathology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peoria Tazewell Pathology Group, S.C. 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Graham Hospital Association Hospital, Canton, IL, CCN 140001
• Graham Hospital Association Hospital, Canton, IL, CCN 141356
• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

Medicare fee-for-service enrollment

Enrolled in IL, IA2 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

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2008.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1902010903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809059",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809059",
            "telephone_number": "888-843-8475",
            "fax_number": "314-849-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "address_2": "ST MARGARET'S HOSPITAL/DEPARTMENT OF PATHOLOGY",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-1470",
            "fax_number": "815-664-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ERIC",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036.117681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0431111",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL  STATE LICENSE NUMBER",
            "identifier": "036.117681",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "215550",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1114110780",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCHI",
            "identifier": "615604",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Rokey, DNP-FNP
• Ruben E Santos, MD, SC
• Christopher Safranski, D.M.D.
• David Vincent Safranski, DMD
• Cynthia Salazar, APN
• David J Schlagheck, MD
• Christian Bennett Schwartz, DO
• Jennifer Scully, RD
• Benjamin I Shepherd, M.D.
• Kaylee Sienza-Duncan, M.S. CCC-SLP

• All providers in Spring Valley, IL
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.