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MR. JOSEPH A SANTIAGO JR. M.D.
NPI 1831185487
Obstetrics & Gynecology in Bloomington, IL

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
1414 WOODBINE RD, BLOOMINGTON, IL 61704(309) 662-2273(309) 662-2014 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Joseph A Santiago Jr. M.d. NPPES

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

MR. JOSEPH A SANTIAGO JR. M.D. (NPI 1831185487) is an individual obstetrics & gynecology provider in Bloomington, Illinois, licensed in Illinois (036101512) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1991).

NPPES Registry Identity

NPI1831185487
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. JOSEPH A SANTIAGO JR.Credential: M.D.
Location Address1414 WOODBINE RDBloomington, IL 61704-2817
Mailing Address1414 Woodbine RdBloomington, IL 61704-2817 · (309) 662-2273 · Fax (309) 662-2014
Phone(309) 662-2273
Fax(309) 662-2014
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1991
Enumeration DateSeptember 20, 2005
Last NPPES UpdateApril 11, 2018
✔ NPI 1831185487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036101512
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1414 WOODBINE RD, Bloomington, IL 61704
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Other Identifiers 2

Other160049257Railroad Medicare
Medicaid036101512IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Mr. Joseph A Santiago Jr. 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 ID8325949696
PECOS Enrollment IDI20040119000726
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 Joseph Santiago reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics And Gynecology Care Associates, S.C.
Same address
Obstetrics & Gynecology
1414 WOODBINE RD
Bloomington, IL 61704
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1932292521 (309) 662-2273

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services16 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 3

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

VICTORIA C VOEGEL PA-C
Physician Assistant
1414 WOODBINE RD
BLOOMINGTON, IL 61704
McLean County (309) 662-2273
UROLOGIC SURGERY ASSOCIATES, S.C.
Urology
1414 WOODBINE RD
BLOOMINGTON, IL 61704
McLean County (309) 661-9999
OBSTETRICS AND GYNECOLOGY CARE ASSOCIATES, S.C.
Obstetrics & Gynecology
1414 WOODBINE RD
BLOOMINGTON, IL 61704
McLean County (309) 662-2273

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 Joseph Santiago's NPI number?

The NPI number for Joseph Santiago is 1831185487. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Joseph Santiago located?

Joseph Santiago practices at 1414 Woodbine Rd, Bloomington, IL 61704. The listed phone number is (309) 662-2273.

What is Joseph Santiago's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joseph Santiago enrolled in Medicare?

Yes. Joseph Santiago 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.

Which organization bills Medicare for Joseph Santiago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Santiago reassigns Medicare benefits to Obstetrics And Gynecology Care Associates, S.C. (Bloomington, IL). 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 Joseph Santiago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Santiago accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Joseph Santiago 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 Joseph Santiago affiliated with any hospitals?

According to CMS data, Joseph Santiago is affiliated with Carle Bromenn Medical Center and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Santiago was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.