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DR. SANTA PAUL M.D.
NPI 1114119740
Pediatrics in Jamaica, NY

Active since August 17, 2007PECOS Enrolled
17007 HILLSIDE AVE, JAMAICA, NY 11432(917) 650-5305(718) 896-4415 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Santa Paul M.d. NPPES

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

DR. SANTA PAUL M.D. (NPI 1114119740) is an individual pediatrics provider in Jamaica, New York, licensed in New York (2454541) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114119740
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SANTA PAULCredential: M.D.
Location Address17007 HILLSIDE AVEJamaica, NY 11432-4546
Mailing Address17007 Hillside AveJamaica, NY 11432-4546 · (917) 650-5305 · Fax (718) 896-4415
Phone(917) 650-5305
Fax(718) 896-4415
Sole ProprietorYes
Enumeration DateAugust 17, 2007
✔ NPI 1114119740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 2454541
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
17007 HILLSIDE AVE, Jamaica, NY 11432
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Santa Paul M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Santa Paul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Medical Practice Plan PC
9.5 mi
General Practice
1901 1ST AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 623 clinicians in this Medicare group
NPI 1306138383 (212) 423-7337
Physician Affiliate Group Of New York PC
11 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

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 11432 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

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

MD SHAH ALAM MD
Internal Medicine
17007 HILLSIDE AVE
JAMAICA, NY 11432
Queens County (347) 380-9050

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 Santa Paul's NPI number?

The NPI number for Santa Paul is 1114119740. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Santa Paul located?

Santa Paul practices at 17007 Hillside Ave, Jamaica, NY 11432. The listed phone number is (917) 650-5305.

What is Santa Paul's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Santa Paul enrolled in Medicare?

Yes. Santa Paul is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Santa Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santa Paul reassigns Medicare benefits to 2 organizations: Metropolitan Medical Practice Plan PC (New York, NY) and Physician Affiliate Group Of New York PC (New York, 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 Santa Paul'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 Santa Paul was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.