DR. MARIO A SANTIAGO (M.D.) – General Practice Physician, NPI 1215998976

DR. MARIO A SANTIAGO (M.D.) is a healthcare provider. based in Miami, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 14652 (PR). The NPI Number for DR. MARIO A SANTIAGO (M.D.) is 1215998976

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIO A SANTIAGO (M.D.)
NPI
1215998976
Phone
(305) 500-2000
Address
6101 BLUE LAGOON DR STE 200
Enumeration Date
31 March 2006
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212474960
Graduation Year
2000 (26 years ago)
PAC ID
4587684832
Group Practice PAC ID
9830184738
Professional Enrollment ID
I20151218001780
Address ID
FL328073121OR737XXBLVD400

Contacts

Secure Messaging
mario.a.santiago.1@29601.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:20State licenses:2Other names

1,466 GENERAL PRACTICE in FL

Provider Addresses for DR. MARIO A SANTIAGO (M.D.)

  • 6101 BLUE LAGOON DR STE 200

    MIAMI, FL 331263168

    Phone: (305) 500-2000

    Type: Mailing

  • 737 S SEMORAN BLVD

    ORLANDO, FL 328073121

    Phone: (321) 247-4960

    Type: Location

  • 1400 NW 107TH AVE STE 500

    SWEETWATER, FL 331722746

    Phone: (305) 534-0076

    Type: Mailing

  • 4980 W 10TH AVE

    HIALEAH, FL 330123437

    Phone: (305) 534-0076

    Type: Location

  • 5201, Hollywood Boulevard, Hollywood, Broward County, Florida, 33024, United States

    HOLLYWOOD, FL 330216422

    Phone: (954) 228-6619

    Fax: (954) 228-6642

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151218001780IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33126)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830184738View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. MARIO A SANTIAGO (M.D.)?
The federal identifier for DR. MARIO A SANTIAGO (M.D.) is NPI 1215998976.
Is DR. MARIO A SANTIAGO (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. MARIO A SANTIAGO (M.D.) treat or focus on?
Patients typically see DR. MARIO A SANTIAGO (M.D.) under the specialty General Practice Physician. Clinical services aligned with this taxonomy classification.
Does DR. MARIO A SANTIAGO (M.D.) practice in Florida?
You will see Miami, Florida on file for DR. MARIO A SANTIAGO (M.D.) alongside any extra practice locations.
How can I contact DR. MARIO A SANTIAGO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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