NPI Details
Marissa T. Santos, M.D. is an internal medicine in Rego Park, NY with 40 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Marissa T. Santos, M.D. NPI is 1659332377. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
9229 QUEENS BLVD
SUITE CB
REGO PARK, NY
ZIP 11374-056
Phone: (718) 478-5600
Fax: (718) 478-5335
The NPI 1659332377 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 33D1086970 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
- Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
The enumeration date for this NPI number is 3/31/2006 and was last updated on 6/22/2022.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 198043 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 01833536 | MEDICAID | NEW YORK | |
| 2 | 1531786 | OTHER | NEW YORK | UNITED HEALTHCARE |
| 3 | 040426017706 | OTHER | NEW YORK | FIDELIS |
| 4 | 0166AF1 | OTHER | NEW YORK | EMPIRE BCBS WOODSIDE |
| 5 | 198043 | OTHER | NEW YORK | HIP HEALTH PLAN OF NY |
| 6 | 172917 | OTHER | NEW YORK | ELDERPLAN |
| 7 | 470858484 | OTHER | NEW YORK | 1199NATIONAL BENEFIT FUND |
| 8 | 5816203 | OTHER | NEW YORK | AETNA USHC |
| 9 | 0403354 | OTHER | NEW YORK | UNITED HEALTHCARE HMO |
| 10 | 113380648SA01 | OTHER | NEW YORK | CARE PLUS HEALTH PLAN |
| 11 | 11P8501 | OTHER | NEW YORK | NY PRESBYTERIAN |
| 12 | 41124 | OTHER | NEW YORK | CORPORATE BEN SVC AMERICA |
| 13 | 8433171 | OTHER | NEW YORK | CIGNA HEALTHCARE |
| 14 | SM8043 | OTHER | NEW YORK | AFFINITY HEALTH PLAN |
| 15 | 198043B27 | OTHER | NEW YORK | HEALTH FIRST |
| 16 | 1P1113 | OTHER | NEW YORK | HEALTH NET |
| 17 | 2592255 | OTHER | NEW YORK | GHI |
| 18 | P384086 | OTHER | NEW YORK | OXFORD HEALTH PLANS |
