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DR. LENIEL SANTANA M.D.
NPI 1912274481
Emergency Medicine - Emergency Medical Services in Ponce, PR

Active since November 28, 2011PECOS EnrolledAccepts Medicare Assignment
HOSPITAL EPISCOPAL SAN LUCAS, AVE TITO CASTRO 917, PONCE, PR 00733(787) 844-2080 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2023, Feb 20, 2023 (2 updates tracked since 2023).

About Dr. Leniel Santana M.d. NPPES

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

DR. LENIEL SANTANA M.D. (NPI 1912274481) is an individual emergency medical services provider in Ponce, Puerto Rico, licensed in Florida (ME119053) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Ponce School Of Medicine (2010).

NPPES Registry Identity

NPI1912274481
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. LENIEL SANTANACredential: M.D.
Location AddressHOSPITAL EPISCOPAL SAN LUCAS, AVE TITO CASTRO 917Ponce, PR 00733-6810
Mailing Address11716 Jackson Landing PlTampa, FL 33624-4502 · (787) 504-8275
Phone(787) 844-2080
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 2010
Enumeration DateNovember 28, 2011
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1912274481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Licenses✔ Licensed in FL · ME119053✔ Licensed in PR · 28455R✔ Licensed in OH · 35.149662
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Dr. Leniel Santana 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 ID5890910053
PECOS Enrollment IDI20140701001062
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

10

Medicare enrollment records show Leniel Santana reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acs Primary Care Physicians - Southeast PC
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 559 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000
Emergency Medical Associates Of Tampa Bay, LLC
Emergency Medicine
3001 W. DR. MARTIN LUTHER KING JR. BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 161 clinicians in this Medicare group
NPI 1023397817 (813) 870-4000
Emergency Medicine Services Of Fl, LLC
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000
Emergency Medicine Services Of Tn, PC
Emergency Medicine
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 414 clinicians in this Medicare group
NPI 1720785884 (615) 342-1000
Emergency Physicians Inc
Emergency Medicine
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 428 clinicians in this Medicare group
NPI 1285686675 (904) 396-5682
Florida Emergency Physicians Kang And Associates MD LLC
Emergency Medical Services
601 E ROLLINS ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
NPI 1811983752 (407) 303-5600
Observation Medical Group LLC
Emergency Medicine
6901 SIMMONS LOOP
Riverview, FL 33578
  • Reassigned Medicare billing, Florida enrollment
  • 158 clinicians in this Medicare group
NPI 1467094425 (813) 302-8000
Ohio Emergency Care Services Inc
  • Reassigned Medicare billing, Ohio enrollment
  • 179 clinicians in this Medicare group
No phone listed
Ohio Emergency Professionals Inc
Emergency Medicine
50 W BROAD ST
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 474 clinicians in this Medicare group
NPI 1982983425 (440) 887-4718
Paragon Emergency Services LLC
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
NPI 1912101650 (863) 293-1121

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
192 services189 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
93 services93 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Hca Florida Capital Hospital

Acute Care Hospitals · Tallahassee, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100254
Location2626 Capital Medical BlvdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00733 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

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 Leniel Santana's NPI number?

The NPI number for Leniel Santana is 1912274481. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Leniel Santana located?

Leniel Santana practices at Hospital Episcopal San Lucas Ave Tito Castro 917, Ponce, PR 00733. The listed phone number is (787) 844-2080.

What is Leniel Santana's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Leniel Santana enrolled in Medicare?

Yes. Leniel Santana 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 organizations bill Medicare for Leniel Santana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leniel Santana reassigns Medicare benefits to 10 organizations: Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), Emergency Medical Associates Of Tampa Bay, LLC (Tampa, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL), Emergency Medicine Services Of Tn, PC (Nashville, TN), Emergency Physicians Inc (Jacksonville, FL) and 5 more organizations, listed in the Medicare section above. 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 Leniel Santana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leniel Santana accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Leniel Santana 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 Leniel Santana affiliated with any hospitals?

According to CMS data, Leniel Santana is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center - Nassau, Hca Florida West Hospital, Hca Florida Capital Hospital and Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Leniel Santana was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.