Active NPI
Milagros Santiago, MD
- Pediatrics Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33340
- Practice address
- 2525 Chicago Ave
Children'S Primary Clinic-MPLS
Minneapolis, MN 55404-4518 - Phone
- (612) 813-6107
- Fax
- (612) 813-7473
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 33340 | MN | Primary |
Addresses
Primary practice location
2525 Chicago Ave
Children'S Primary Clinic-MPLS
Minneapolis, MN 55404-4518
Mailing address
2910 Centre Pointe Dr
35-121 A
Roseville, MN 55113-1182
Phone (651) 855-2109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 868500200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33340 | MN | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care | Current | Accepting new patients | |
| Children'S Clinic Network | Current | Accepting new patients | |
| Children'S Clinic Network | Current | Accepting new patients | |
| Childrens Health Care | Pediatrics | Current | Accepting new patients |
| Children'S Health Care | Current | Accepting new patients |
Locations
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
1547 Livingston Ave
West St Paul, MN 55118
Phone (651) 451-8050
963 Robert St S
West St Paul, MN 55118
Phone (651) 726-9500
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Hugo, MN
- NPI 1447529235
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
- Primary Care Clinic/Center
- Brooklyn Park, MN
- NPI 1588522668
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1689852071
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1922091008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CENTRE POINTE DR",
"address_2": "35-121 A",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131182",
"telephone_number": "651-855-2109",
"fax_number": "651-855-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CHICAGO AVE",
"address_2": "CHILDREN'S PRIMARY CLINIC-MPLS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044518",
"telephone_number": "612-813-6107",
"fax_number": "612-813-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "MILAGROS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "33340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "868500200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.