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LOURDES T SANTIAGO M.D.P.A.
NPI 1265821094
Clinic/Center in Clearwater, FL

Active since January 16, 2015
1305 S FORT HARRISON AVE, BUILDING C, CLEARWATER, FL 33756(727) 483-9188(727) 412-8432 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lourdes T Santiago M.d.p.a. NPPES

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

LOURDES T SANTIAGO M.D.P.A. (NPI 1265821094) is a healthcare organization registered as a clinic/center in Clearwater, Florida and active in the NPI registry since January 2015. The organization lists Lourdes Santiago, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1265821094
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLOURDES T SANTIAGO M.D.P.A.
Location Address1305 S FORT HARRISON AVE, BUILDING CClearwater, FL 33756-3301
Mailing Address1305 S Fort Harrison Ave, Building CClearwater, FL 33756-3301 · (727) 483-9188 · Fax (727) 412-8432
Phone(727) 483-9188
Fax(727) 412-8432
Organization SubpartNo
Authorized OfficialLourdes SantiagoSurgeon · (727) 483-9188
Enumeration DateJanuary 16, 2015
✔ NPI 1265821094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · ME97611
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1305 S FORT HARRISON AVE, Clearwater, FL 33756
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Other Identifiers 1

Medicaid277873400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lourdes T Santiago M.d.p.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lourdes T Santiago M.D.P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Lourdes Santiago, MD
Colorectal Surgery (Proctology)
NPI 1063630259
1305 S FORT HARRISON AVE BLDG C
Clearwater, FL 33756
(727) 483-9188
✔ PECOSSame address

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

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 Lourdes T Santiago M.D.P.A.'s NPI number?

The NPI number for Lourdes T Santiago M.D.P.A. is 1265821094. It was assigned to this organization in the NPPES registry on January 16, 2015.

Where is Lourdes T Santiago M.D.P.A. located?

Lourdes T Santiago M.D.P.A. is located at 1305 S Fort Harrison Ave Building C, Clearwater, FL 33756. The listed phone number is (727) 483-9188.

What is Lourdes T Santiago M.D.P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Lourdes T Santiago M.D.P.A. enrolled in Medicare?

Yes. Lourdes T Santiago M.D.P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lourdes T Santiago M.D.P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Lourdes T Santiago M.D.P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lourdes T Santiago M.D.P.A. accept?

Health plans from AvMed list Lourdes T Santiago M.D.P.A. 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 Lourdes T Santiago M.D.P.A. was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.