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ISRAEL DURAN SANTIBANEZ MD
NPI 1073215224
Student in an Organized Health Care Education/Training Program in Middletown, CT

Active since March 21, 2023PECOS Enrolled
90 S MAIN ST STE 201, MIDDLETOWN, CT 06457(860) 358-6486 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2024, Apr 4, 2023, Mar 21, 2023 (3 updates tracked since 2023).

About Israel Duran Santibanez Md NPPES

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

ISRAEL DURAN SANTIBANEZ MD (NPI 1073215224) is an individual student in an organized health care education/training program in Middletown, Connecticut, licensed in Connecticut (78697) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073215224
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameISRAEL DURAN SANTIBANEZCredential: MD
Location Address90 S MAIN ST STE 201Middletown, CT 06457-3649
Mailing Address90 S Main St Ste 201Middletown, CT 06457-3649 · (860) 358-6486
Phone(860) 358-6486
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1073215224 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
License✔ Licensed in CT · 78697
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.

90 S MAIN ST STE 201, Middletown, CT 06457
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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)

Israel Duran Santibanez 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDMUND TAMAS TAKATA
Student in an Organized Health Care Education/Training Program
90 S MAIN ST STE 201
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6418

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 Israel Duran Santibanez's NPI number?

The NPI number for Israel Duran Santibanez is 1073215224. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Israel Duran Santibanez located?

Israel Duran Santibanez practices at 90 S Main St Ste 201, Middletown, CT 06457. The listed phone number is (860) 358-6486.

What is Israel Duran Santibanez's specialty?

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

Is Israel Duran Santibanez enrolled in Medicare?

Yes. Israel Duran Santibanez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Israel Duran Santibanez was last updated on June 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.