Ida Louise Santana, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

231523 Issued in NY

Practice address

584 Broadway
Suite 510
New York, NY 10012-3229

Phone

(202) 827-6646

Fax

(202) 827-6646

NPI assigned

Dec 12, 2007

Last updated

Jul 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, KY2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• BHG Lviii, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Hazard, KY
  • NPI 1417696543
  Medicare reassignment NPD
• BHG Xxiv, LLC

  dba BHG Paintsville Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paintsville, KY
  • NPI 1568808640
  Medicare reassignment NPD
• BHG XXV, LLC

  dba BHG Pikeville Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pikeville, KY
  • NPI 1710323894
  Medicare reassignment NPD
• BHG Xxvi, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hazard, KY
  • NPI 1417393414
  Medicare reassignment NPD
• BHG Xxvii, LLC

  dba BHG Savannah Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Savannah, TN
  • NPI 1568009181
  Medicare reassignment NPD
• BHG Xxxi, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dyersburg, TN
  • NPI 1285057638
  Medicare reassignment NPD
• BHG Xxxiii, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paducah, KY
  • NPI 1982027199
  Medicare reassignment NPD
• BHG Xxxiv, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corbin, KY
  • NPI 1578986345
  Medicare reassignment NPD
• BHG XXXV, LLC

  dba BHG Lexington Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, KY
  • NPI 1386067254
  Medicare reassignment NPD
• DRD Management, Inc

  dba BHG Knoxville Citico Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Knoxville, TN
  • NPI 1366601775
  Medicare reassignment NPD
• DRD Management, Inc

  dba BHG Knoxville Intake Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Knoxville, TN
  • NPI 1871954867
  Medicare reassignment NPD
• Vcphcs I, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Memphis, TN
  • NPI 1295994671
  Medicare reassignment NPD

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1942483003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "address_2": "SUITE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123229",
            "telephone_number": "202-827-6646",
            "fax_number": "202-827-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "address_2": "SUITE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123229",
            "telephone_number": "202-827-6646",
            "fax_number": "202-827-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "IDA",
        "middle_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231523",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "231523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL LICENSE",
            "identifier": "231523-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Santana, LCSW
• Deniece Santana, LMSW
• Dorleen Santana, RD
• Franklyn Santana, NP
• Ginette Santana
• Jannett Santana, LCSW
• Johanna Rossil Santana, MA
• Laury Mariel Santana, LP-MHC
• Leslie Ann Santana, LMSW
• Lorraine Santana

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.

Verify at the official NPI Registry.