DR. SHIRLEY IVELESSE SANTOS (M.D.) – General Practice Physician, NPI 1396849931
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. SHIRLEY IVELESSE SANTOS (M.D.)
308 W BASS ST
KISSIMMEE, FL 347415001
Phone: (407) 483-8801
Type: Mailing
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328570038
Phone: (407) 930-1112
Type: Mailing
52, Calle San José, Navarro, Gurabo, Puerto Rico, 00778, United States
GURABO, PR 007785093
Phone: (787) 737-7176
Fax: (787) 737-1226
Type: Location
1000 E OSCEOLA PKWY
KISSIMMEE, FL 347441607
Phone: (407) 847-7910
Fax: (407) 932-2432
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $2,345.
Total Amount is formed as General ($2,345) + Research ($0) + Ownership ($0) = $2,345.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($578).
Total Amount
$2,345
General + Research + Ownership
Payments
121
Total payment records
General Amount
$2,345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $578 |
| AstraZeneca Pharmaceuticals LP | $378 |
| Novo Nordisk Inc | $212 |
| Lilly USA, LLC | $163 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $132 |
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: 2018-07-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180725002132 | I | General Practice | FL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 13 | $0 |
Insurance plans in this area (ZIP 34741)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | PR | |
| General Practice | FL | |
| General Practice | PR | |
| Internal Medicine | FL | |
| General Practice | PR | |
| General Practice | FL | |
| Internal Medicine | FL | |
| General Practice | SD | |
| General Practice | PR | |
| Family Practice | FL |
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