LATA SANTA INES (MD) – Obstetrics & Gynecology Physician, NPI 1871621136
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
797 OBSTETRICS/GYNECOLOGY in WI
Provider Addresses for LATA SANTA INES (MD)
1000 N Oak Ave
Marshfield, WI 544495703
Phone: (715) 387-5511
Type: Location
3340 Waterman Way
Tavares, FL 327785250
Phone: (352) 589-6005
Fax: (352) 589-6012
Type: Location
4424 E Flamingo Ave Ste 200
Nampa, ID 836879300
Phone: (208) 302-1400
Fax: (208) 302-1455
Type: Location
5002 W Lemon St
Tampa, FL 336091104
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Location
3351 SANDSTONE CT
LAKE IN THE HILLS, IL 601564425
Phone: (224) 231-7335
Type: Mailing
373 SUMMIT ST
SUITE 105
ELGIN, IL 60120
Phone: (847) 888-3631
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 $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Organon LLC ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $16 |
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: 2025-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070328000040 | I | Obstetrics/Gynecology | WI | TBD |
| I20091001000699 | I | Obstetrics/Gynecology | IL | TBD |
| I20210728001902 | I | Obstetrics/Gynecology | FL | TBD |
| I20251219001338 | I | Obstetrics/Gynecology | ID | 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 54449)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | ID | |
| Orthopedic Surgery | ID | |
| - | ID | |
| - | UT | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | ID |
Reviews
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