Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAURA ANDROSKI SANTOSO MD
NPI 1033679246
Internal Medicine in Tampa, FL

Active since March 22, 2019PECOS Enrolled
15416 N FLORIDA AVE STE 203, TAMPA, FL 33613(833) 904-2273 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2026, Sep 15, 2026, Jul 18, 2023 and 1 more (4 updates tracked since 2019).

About Laura Androski Santoso Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA ANDROSKI SANTOSO MD (NPI 1033679246) is an individual internal medicine provider in Tampa, Florida, licensed in California (A177894) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033679246
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAURA ANDROSKI SANTOSOCredential: MD
Location Address15416 N FLORIDA AVE STE 203Tampa, FL 33613-1239
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90095-7419
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 22, 2019
Last NPPES UpdateSeptember 25, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1033679246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A177894
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License A177894 (CA)
15416 N FLORIDA AVE STE 203, Tampa, FL 33613

Secondary Practice Locations 6

Location 116115 LaSalle St.South Holland, IL 60473 · Phone (833) 904-2273
Location 22301 N Meridian StIndianapolis, IN 46208-5729 · Phone (833) 904-2273
Location 39455 Clairemont Mesa BlvdSan Diego, CA 92123-1297 · Phone (858) 266-5000
Location 44444 The Plz Unit 18Charlotte, NC 28215-2189 · Phone (336) 360-2407
Location 5186 N Main St Fl 2Plymouth, MI 48170-1236 · Phone (833) 904-2273
Location 6500 E Main St Ste 105Columbus, OH 43215-5619 · Phone (833) 904-2273

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Androski Santoso Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709243116
PECOS Enrollment IDI20260623002898
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Laura Santoso reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
6100 E MAIN ST STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 62 clinicians in this Medicare group
Internal Medicine
2620 KESSLER BOULEVARD EAST DR STE 110
Indianapolis, IN 46220
  • Reassigned Medicare billing, Florida, Illinois, Indiana and Michigan enrollments
  • Medicare enrollment name: Cityblock Medical Practice PA
  • 41 clinicians in this Medicare group
Family Medicine
546 EASTERN PKWY FL 1
Brooklyn, NY 11225
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Santoso's NPI number?

The NPI number for Laura Santoso is 1033679246. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Laura Santoso located?

Laura Santoso practices at 15416 N Florida Ave Ste 203, Tampa, FL 33613. The listed phone number is (833) 904-2273.

What is Laura Santoso's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Laura Santoso enrolled in Medicare?

Yes. Laura Santoso is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Laura Santoso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Santoso reassigns Medicare benefits to 3 organizations: Cityblock Medical Practice, LLC (Columbus, OH), Cityblock Medical Practice, P.A. (Indianapolis, IN) and Oluwatoyin Ajayi Medical Practice, PC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laura Santoso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laura Santoso was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.