Individual provider Active NPI

John Santogrossi, MD

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1972912467
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
309560 Issued in LA
Practice address
4864 Jackson St
Monroe, LA 71202-6400
Phone
(318) 675-7661
NPI assigned
Aug 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 6480 TX
Family Medicine Physician 207Q00000X 309560 LA Primary

Addresses

Primary practice location

4864 Jackson St
Monroe, LA 71202-6400

Mailing address

3111 Old Sterlington Rd Apt 184
Monroe, LA 71203-2624
Phone (972) 839-5092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180822003541 LA Practitioner - Emergency Medicine 2567768955 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

254 Hwy 3048
Rayville, LA 71269-3624
Phone (318) 728-4181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6480TXMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Parish Hospital Service District No 1-B Current Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Jul 19, 2021 Accepting new patients
Ess Hospitalist LLC Hospitalist CurrentSince Jul 13, 2018 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Jul 13, 2018 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Richland Parish Hospital Service District No. 1-B Family Medicine CurrentSince Jul 13, 2018 Accepting new patients
Northern Louisiana Emergency Physicians, LLP CurrentSince Jul 19, 2021 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Nov 1, 2018 Accepting new patients
Richland Parish Hospital Service District No 1-B CurrentSince Jul 13, 2018 Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

407 Cincinnati St
Delhi, LA 71232
Phone (318) 878-5171

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

Interoperability endpoints

  • Direct secure messaging: john.santogrossi.1@13199.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1972912467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 OLD STERLINGTON RD APT 184",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032624",
            "telephone_number": "972-839-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026400",
            "telephone_number": "318-675-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOGROSSI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-08",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "TX",
            "license": "6480",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "309560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.