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LIZA MARIEL BERMUDEZ SANTIAGO MD
NPI 1144456815
Student in an Organized Health Care Education/Training Program in Albany, NY

Active since June 08, 2009PECOS Enrolled
22 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 262-7337 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2021, Oct 15, 2020 (2 updates tracked since 2020).

About Liza Mariel Bermudez Santiago Md NPPES

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

LIZA MARIEL BERMUDEZ SANTIAGO MD (NPI 1144456815) is an individual student in an organized health care education/training program in Albany, New York and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144456815
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLIZA MARIEL BERMUDEZ SANTIAGOCredential: MD
Location Address22 NEW SCOTLAND AVEAlbany, NY 12208-3795
Mailing Address22 New Scotland AveAlbany, NY 12208-3795 · (518) 262-7337
Phone(518) 262-7337
Sole ProprietorNo
Enumeration DateJune 8, 2009
Last NPPES UpdateMarch 24, 20212 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
✔ NPI 1144456815 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.
22 NEW SCOTLAND AVE, Albany, NY 12208
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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)

Liza Mariel Bermudez Santiago 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.

Medicare Billing Reassignment

Medicare enrollment records show Liza Bermudez Santiago reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Albany Medical College
0.2 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600

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

Other Providers at the Same Location NPPES 15

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

LIANNE PRESCOTT RD
Dietitian, Registered
22 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5120
JENAVIEVE M STEINBACH LMHC-P
Counselor (Mental Health)
22 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-2346
AMY M MEEHAN NP
Nurse Practitioner (Pediatrics)
22 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-8831
BARBARA E OSTROV MD
Pediatrics (Pediatric Rheumatology)
22 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (185) 262-5333
ANNALISA MARIA RAGONESE
Nurse Practitioner (Pediatrics)
22 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-8831
MAYA DINESH PATEL MS
Genetic Counselor, MS
22 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5120
RACHEL E TREERS FNP-BC
Nurse Practitioner (Family)
22 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-6880
ALICE BASIN MD
Pediatrics (Pediatric Endocrinology)
22 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5333

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 Liza Bermudez Santiago's NPI number?

The NPI number for Liza Bermudez Santiago is 1144456815. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Liza Bermudez Santiago located?

Liza Bermudez Santiago practices at 22 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 262-7337.

What is Liza Bermudez Santiago's specialty?

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

Is Liza Bermudez Santiago enrolled in Medicare?

Yes. Liza Bermudez Santiago is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Liza Bermudez Santiago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liza Bermudez Santiago reassigns Medicare benefits to Albany Medical College (Albany, NY). The 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 Liza Bermudez Santiago'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 Liza Bermudez Santiago was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.