ODETTE MOHAMED-SANTA (MD) – Family Medicine Physician, NPI 1609856632

ODETTE MOHAMED-SANTA (MD) is a healthcare provider. based in Marshall, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. K3799 (TX). The NPI Number for ODETTE MOHAMED-SANTA (MD) is 1609856632

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
ODETTE MOHAMED-SANTA (MD)
NPI
1609856632
Phone
(903) 935-9100
Address
402 S. BOLIVAR
Enumeration Date
17 January 2006
Last Update Date
15 October 2007

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
9039359100
Graduation Year
1986 (40 years ago)
PAC ID
6800705435
Group Practice PAC ID
6901803303
Professional Enrollment ID
I20060329000679
Address ID
TX756704110MA402XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for ODETTE MOHAMED-SANTA (MD)

  • 402, South Bolivar Street, Marshall, Harrison County, Texas, 75670, United States

    MARSHALL, TX 756704100

    Phone: (903) 935-9100

    Fax: (903) 935-9102

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($58).

Total Amount

$175

General + Research + Ownership

Payments

10

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2006-03-29

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
I20060329000679IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes214131$0
99212Established patient office or other outpatient visit, 10-19 minutes167155$0
G0444Annual depression screening, 5 to 15 minutes151151$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit151151$0
99213Established patient office or other outpatient visit, 20-29 minutes12289$0
View full utilization report →

Insurance plans in this area (ZIP 75670)

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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: 6901803303View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up ODETTE MOHAMED-SANTA (MD) by NPI?
Use NPI 1609856632 when you need to reference ODETTE MOHAMED-SANTA (MD) in forms, claims, or directories.
Is ODETTE MOHAMED-SANTA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ODETTE MOHAMED-SANTA (MD)'s specialty in plain language?
Clinically, the directory lists ODETTE MOHAMED-SANTA (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does ODETTE MOHAMED-SANTA (MD) practice in Texas?
You will see Marshall, Texas on file for ODETTE MOHAMED-SANTA (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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