1. Home
  2. Directory
  3. Pennsylvania
  4. Erie
  5. Pediatrics
  6. NPI Profile

SANT RAM MD
NPI 1215917166
Pediatrics in Erie, PA

Active since January 18, 2006PECOS Enrolled

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sant Ram Md NPPES

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

SANT RAM MD (NPI 1215917166) is an individual pediatrics provider in Erie, Pennsylvania, licensed in Pennsylvania (MD038978L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215917166
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSANT RAMCredential: MD
Location Address537 W 18TH STErie, PA 16502-1722
Mailing Address1 Lecom PlErie, PA 16505-2571 · (814) 868-2529 · Fax (814) 868-2522
Phone(814) 453-5056
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1215917166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD038978L
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.
537 W 18TH ST, Erie, PA 16502
Open in Google Maps ↗

Other Identifiers 8

Other000034005PA · Keystone
Other526224PA · Aetna Healthcare
OtherG23929PA · Wellpath Select Inc
Other219229PA · Upmc Health Plan
Medicaid0008107530001PA
Other4332685PA · Cigna Healthcare
OtherG23929PA · Health America/health Ass
Other00050140001PA · Univera Health

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sant Ram 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 Reassignments

2

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

Medical Associates Of Erie
Same address
Family Medicine
537 W 18TH ST
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 69 clinicians in this Medicare group
NPI 1083732549 (814) 456-1009
Millcreek Community Hospital
Same address
Family Medicine
537 W 18TH ST
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 22 clinicians in this Medicare group
NPI 1568097939 (814) 456-1009

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 16502 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 7

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

MILLCREEK COMMUNITY HOSPITAL
General Acute Care Hospital
537 W 18TH ST
ERIE, PA 16502
Erie County (814) 486-1009
DOUGLAS B GRISIER DO
Family Medicine
537 W 18TH ST
ERIE, PA 16502
Erie County (814) 456-1009
MEDICAL ASSOCIATES OF ERIE
Family Medicine
537 W 18TH ST
ERIE, PA 16502
Erie County (814) 456-1009
MEDICAL ASSOCIATES OF ERIE
Non-Pharmacy Dispensing Site
537 W 18TH ST
ERIE, PA 16502
Erie County (814) 456-1009
MILLCREEK COMMUNITY HOSPITAL
Family Medicine
537 W 18TH ST
ERIE, PA 16502
Erie County (814) 456-1009
DR. MARK KEVIN KAUFFMAN DO
Family Medicine
537 W 18TH ST
ERIE, PA 16502
Erie County (814) 456-1009
MEDICAL ASSOCIATES OF ERIE
Psychiatry & Neurology (Child & Adolescent Psychiatry)
537 W 18TH ST
ERIE, PA 16502
Erie County (814) 456-1009

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 Sant Ram's NPI number?

The NPI number for Sant Ram is 1215917166. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Sant Ram located?

Sant Ram practices at 537 W 18th St, Erie, PA 16502. The listed phone number is (814) 453-5056.

What is Sant Ram's specialty?

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

Is Sant Ram enrolled in Medicare?

Yes. Sant Ram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sant Ram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sant Ram reassigns Medicare benefits to 2 organizations: Medical Associates Of Erie (Erie, PA) and Millcreek Community Hospital (Erie, PA). 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 Sant Ram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sant Ram accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sant Ram 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.

When was this NPI record last updated?

The NPPES record for Sant Ram was last updated on November 12, 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.