VALERIA SANTIBANEZ
NPI 1073965125
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Q: What is Valeria Santibanez's NPI number?

The NPI number for Valeria Santibanez is 1073965125. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Q: What is Valeria Santibanez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment

834 WALNUT ST, PHILADELPHIA, PA 19107(929) 304-3349 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2024, Jul 12, 2016 (2 updates tracked since 2016).

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About Valeria Santibanez NPPES

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

VALERIA SANTIBANEZ (NPI 1073965125) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD485953) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1073965125

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameVALERIA SANTIBANEZ

Location Address834 WALNUT STPhiladelphia, PA 19107-5109

Mailing Address834 Walnut StPhiladelphia, PA 19107-5109 · (215) 955-1671

Phone(929) 304-3349

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 12, 2016

Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1073965125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in PA · MD485953

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD485953 (PA)

834 WALNUT ST, Philadelphia, PA 19107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Valeria Santibanez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416293659

PECOS Enrollment IDI20240919003881

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 20

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

RONALD I CANTOR & WILLAIM BIERMANN MD PC

Internal Medicine (Hematology & Oncology)

834 WALNUT ST, STE 110
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6039

DR. RASHMI CHAWLA M.D.

Internal Medicine (Pulmonary Disease)

834 WALNUT ST, 650
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6591

BOYD HEHN MD

Internal Medicine (Pulmonary Disease)