DR. JAIRO SANTANA LUCIANO MD
NPI 1386253995
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since July 29, 2020PECOS Enrolled
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 745-5146(313) 993-8501 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2022, Jul 29, 2020 (2 updates tracked since 2020).

About Dr. Jairo Santana Luciano Md NPPES

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

DR. JAIRO SANTANA LUCIANO MD (NPI 1386253995) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386253995
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JAIRO SANTANA LUCIANOCredential: MD
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine StDetroit, MI 48201-2153 · (313) 745-5146 · Fax (313) 993-8501
Fax(313) 993-8501
Sole ProprietorNo
Enumeration DateJuly 29, 2020
Last NPPES UpdateApril 25, 20222 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
NPI 1386253995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4201 SAINT ANTOINE ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jairo Santana Luciano 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.

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.

Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201

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 Jairo Santana Luciano's NPI number?

The NPI number for Jairo Santana Luciano is 1386253995. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Jairo Santana Luciano located?

Jairo Santana Luciano practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 745-5146.

What is Jairo Santana Luciano's specialty?

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

Is Jairo Santana Luciano enrolled in Medicare?

Yes. Jairo Santana Luciano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jairo Santana Luciano was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.