THOMAS SANTAMARIA M.D.
NPI 1194188086
Family Medicine in New Orleans, LA

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
3201 S CARROLLTON AVE, NEW ORLEANS, LA 70118(504) 207-3060 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2020, Mar 30, 2016 (2 updates tracked since 2016).

About Thomas Santamaria M.d. NPPES

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

THOMAS SANTAMARIA M.D. (NPI 1194188086) is an individual family medicine provider in New Orleans, Louisiana, licensed in Louisiana (306432) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Tulane University School Of Medicine (2016).

NPPES Registry Identity

NPI1194188086
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS SANTAMARIACredential: M.D.
Location Address3201 S CARROLLTON AVENew Orleans, LA 70118-4307
Mailing Address3201 S Carrollton AveNew Orleans, LA 70118-4307 · (504) 207-3060
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1194188086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · 306432
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3201 S CARROLLTON AVE, New Orleans, LA 70118

Accepted 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

Thomas Santamaria M.d. 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 ID6709169808
PECOS Enrollment IDI20230424000272
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.

Hospital Affiliations CMS Care Compare

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70118 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims26 services$4.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
3201 S CARROLLTON AVE
NEW ORLEANS, LA 70118
Pharmacist (Ambulatory Care)
3201 S CARROLLTON AVE
NEW ORLEANS, LA 70118
Clinic/Center (Health Service)
3201 S CARROLLTON AVE
NEW ORLEANS, LA 70118
Nurse Practitioner (Family)
3201 S CARROLLTON AVE
NEW ORLEANS, LA 70118
Internal Medicine (Cardiovascular Disease)
3201 S CARROLLTON AVE
NEW ORLEANS, LA 70118
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3201 S CARROLLTON AVE
NEW ORLEANS, LA 70118
Dentist
3201 S CARROLLTON AVE
NEW ORLEANS, LA 70118
Counselor (Professional)
3201 S CARROLLTON AVE
NEW ORLEANS, LA 70118

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 Thomas Santamaria's NPI number?

The NPI number for Thomas Santamaria is 1194188086. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Thomas Santamaria located?

Thomas Santamaria practices at 3201 S Carrollton Ave, New Orleans, LA 70118. The listed phone number is (504) 207-3060.

What is Thomas Santamaria's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Santamaria enrolled in Medicare?

Yes. Thomas Santamaria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Santamaria accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Thomas Santamaria as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Santamaria affiliated with any hospitals?

According to CMS data, Thomas Santamaria is affiliated with University Medical Center New Orleans.

When was this NPI record last updated?

The NPPES record for Thomas Santamaria was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.