DR. NELSON R. SANTOS MD
NPI 1831280171
General Practice in Wilmington, DE
NPI Status: Active since September 28, 2006
Contact Information
NEMOURS PEDIATRICS ST. FRANCIS
7TH & CLAYTON STREET SUITE 400
WILMINGTON, DE
ZIP 19805
Phone: (302) 421-9700
Fax: (302) 421-9743
- Individual
- Male
- General Practice
- Accepts Insurance
About NELSON SANTOS
This page provides the complete NPI Profile along with additional information for Nelson Santos, a primary care provider established in Wilmington, Delaware with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1831280171 assigned on September 2006. The practitioner's primary taxonomy code is 208D00000X with license number C10005644 (DE). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1831280171
- Provider Name
- DR. NELSON R. SANTOS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- NEMOURS PEDIATRICS ST. FRANCIS 7TH & CLAYTON STREET SUITE 400 WILMINGTON, DE 19805
- Location Phone
- (302) 421-9700
- Location Fax
- (302) 421-9743
- Mailing Address
- PO BOX 191 PROVIDER ENROLLMENT DEPT ROCKLAND, DE 19732
- Mailing Phone
- (302) 651-6212
- Mailing Fax
- (302) 421-9743
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-28-2006
- Last Update Date
- 09-10-2011
- Code Navigator
A primary care provider (PCP) like Nelson Santos sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C10005644
- License State
- DE
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207PP0204X | Allopathic & Osteopathic Physicians | Emergency Medicine | C10005644 (DE) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | C10005644 (DE) |
| 3 | 2080P0204X | Allopathic & Osteopathic Physicians | Pediatrics | C10005644 (DE) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access Select PPO Bronze 3800 - PPO
- my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Bronze 9200 - PPO
- my Blue Access Select PPO Gold 0 - PPO
- my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Gold 1700 HSA - PPO
- my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Standard Bronze 7500 - PPO
- my Blue Access Select PPO Standard Gold 2000 - PPO
- my Blue Access Select PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Standard Platinum 0 - PPO
- my Blue Access Select PPO Standard Silver 6000 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G99396 | MEDICARE UPIN (02) | ||
| 02182432 | MEDICAID (05) | NY | |
| 001756573 | MEDICAID (05) | PA | |
| 3939022 | MEDICAID (05) | MD | |
| 003725T34 | MEDICARE PIN (08) | ||
| 910139000 | MEDICAID (05) | FL | |
| 7969201 | MEDICAID (05) | NJ |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1831280171, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WILMINGTON, DE 19805
WILMINGTON, DE 19805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831280171, enumerated as an "individual" on September 28, 2006.
The provider is located at NEMOURS PEDIATRICS ST. FRANCIS 7TH & CLAYTON STREET SUITE 400 WILMINGTON, DE 19805 and the phone number is (302) 421-9700.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: AmeriHealth Caritas Next, Highmark Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
