DR. SANTIAGO JIMENEZ (M.D.) – Diagnostic Radiology Physician, NPI 1073595740

DR. SANTIAGO JIMENEZ (M.D.) is a healthcare provider. based in Fort stewart, Georgia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. BP10024058 (TX). The NPI Number for DR. SANTIAGO JIMENEZ (M.D.) is 1073595740

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANTIAGO JIMENEZ (M.D.)
NPI
1073595740
Phone
(912) 435-5806
Address
1061 HARMON AVE STE 1D03
Enumeration Date
17 November 2005
Last Update Date
12 January 2024

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
800786801576145
Graduation Year
2004 (22 years ago)
PAC ID
6709060296
Group Practice PAC ID
6800709783
Professional Enrollment ID
I20250414000986
Address ID
CT064571594MI460XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

Provider Addresses for DR. SANTIAGO JIMENEZ (M.D.)

  • 1061 HARMON AVE STE 1D03

    FORT STEWART, GA 313145641

    Phone: (912) 435-5806

    Type: Mailing

  • 5166 Lowing Ct

    Rockledge, FL 329557002

    Phone: (913) 435-5806

    Type: Location

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (321) 549-0677

    Type: Mailing

  • 1223 GATEWAY DR

    MELBOURNE, FL 329012607

    Phone: (321) 549-0677

    Type: Location

  • 1620 NORTHWEST BLVD STE 202

    COEUR D ALENE, ID 838142488

    Phone: (877) 905-1724

    Type: Mailing

  • 5166 LOWING CT

    ROCKLEDGE, FL 329557002

    Phone: (913) 435-5806

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($155).

Total Amount

$155

General + Research + Ownership

Payments

1

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 12 Medicare enrollment records; no due dates published yet.

Enrollment records

12

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
I20110407000243IDiagnostic RadiologyGATBD
I20130625000807IDiagnostic RadiologyALTBD
I20130723001059IDiagnostic RadiologyOHTBD
I20140501002205IDiagnostic RadiologySCTBD
I20140710001754IDiagnostic RadiologyTXTBD
I20141023000003IDiagnostic RadiologyILTBD
I20141031001179IDiagnostic RadiologyFLTBD
I20150203002209IDiagnostic RadiologyPATBD
I20230511001270IDiagnostic RadiologyNJTBD
I20250414000986IDiagnostic RadiologyCTTBD
I20250716000835IDiagnostic RadiologyMITBD
I20250819001136IDiagnostic RadiologyWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view687674$0
71046X-ray of chest, 2 views439426$0
74018X-ray of abdomen, 1 view242236$0
73502X-ray of hip, 2-3 views8987$0
73560X-ray of knee, 1-2 views8774$0
View full utilization report →

Insurance plans in this area (ZIP 31314)

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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: 6800709783View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyNM
Diagnostic Radiology, Diagnostic Radiology, Endocrinology, Cardiovascular Disease (Cardiology)ME
Diagnostic RadiologyWA
Diagnostic Radiology, Interventional RadiologyAK
Diagnostic Radiology, Cardiovascular Disease (Cardiology)MD
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Diagnostic RadiologyPA
Diagnostic RadiologyAZ
Diagnostic RadiologyWA

Reviews

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Frequently asked questions

What federal number belongs to DR. SANTIAGO JIMENEZ (M.D.)?
The federal identifier for DR. SANTIAGO JIMENEZ (M.D.) is NPI 1073595740.
Is DR. SANTIAGO JIMENEZ (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. SANTIAGO JIMENEZ (M.D.)?
The page reflects Diagnostic Radiology Physician for DR. SANTIAGO JIMENEZ (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SANTIAGO JIMENEZ (M.D.)?
The page summarizes Fort Stewart, Georgia for DR. SANTIAGO JIMENEZ (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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