MARY ANN SANTUCCI MD
NPI 1063269744
Student in an Organized Health Care Education/Training Program in Lakewood, OH

Q: What is Mary Ann Santucci's NPI number?

The NPI number for Mary Ann Santucci is 1063269744. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Q: What is Mary Ann Santucci's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ann Santucci was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2024PECOS Enrolled

14601 DETROIT AVE, LAKEWOOD, OH 44107(216) 237-5500 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mary Ann Santucci Md NPPES

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

MARY ANN SANTUCCI MD (NPI 1063269744) is an individual student in an organized health care education/training program in Lakewood, Ohio and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063269744

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARY ANN SANTUCCICredential: MD

Location Address14601 DETROIT AVELakewood, OH 44107-4205

Mailing Address14601 Detroit AveLakewood, OH 44107-4205 · (216) 237-5500

Phone(216) 237-5500

Sole ProprietorYes

Enumeration DateMay 1, 2024

NPPES CertifiedMay 1, 2024

✔ NPI 1063269744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

14601 DETROIT AVE, Lakewood, OH 44107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ann Santucci Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.