MONICA ROSALES SANTILLAN – Dermatology Physician, NPI 1033606249
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for MONICA ROSALES SANTILLAN
5809 MADISON ST
WEST NEW YORK, NJ 070931005
Phone:
Type: Mailing
Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States
BOSTON, MA 022155400
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $249.
Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.
Last reported payment date: 2023-05-04 • Largest payer in this snapshot: ABBVIE INC. ($249).
Total Amount
$249
General + Research + Ownership
Payments
2
Total payment records
General Amount
$249
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $249 |
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: 2024-10-25
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 |
|---|---|---|---|---|
| I20241025000352 | I | Dermatology | NJ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07093)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | NY | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | MA | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | NJ |
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