Michael J Santoro, MD - Medicare Gastroenterology in Mission Viejo, CA

Michael J Santoro, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Mission Viejo, California. He went to State University Of New York Downstate Medical Center and graduated in 1987 and has 37 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Providence Medical Foundation and his current practice location is 27871 Medical Center Rd, Suite 200, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 364-5090.

Michael J Santoro is licensed to practice in California (license number G67419) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396722435.

Contact Information

Michael J Santoro, MD
27871 Medical Center Rd, Suite 200,
Mission Viejo, CA 92691-6404
(949) 364-5090
(949) 542-8710

Map and Direction




Physician's Profile

Full NameMichael J Santoro
GenderMale
SpecialityGastroenterology
Experience37 Years
Location27871 Medical Center Rd, Mission Viejo, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael J Santoro attended and graduated from State University Of New York Downstate Medical Center in 1987
  NPI Data:
  • NPI Number: 1396722435
  • Provider Enumeration Date: 12/29/2005
  • Last Update Date: 10/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052417615
  • Enrollment ID: I20070921000520

Medical Identifiers

Medical identifiers for Michael J Santoro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396722435NPI-NPPES
00G674190MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology G67419 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mission Hospital Regional Med CenterMission viejo, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051293

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael J Santoro allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael J Santoro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael J Santoro, MD
27871 Medical Center Rd Ste 240,
Mission Viejo, CA 92691-6406

Ph: (949) 364-5090
Michael J Santoro, MD
27871 Medical Center Rd, Suite 200,
Mission Viejo, CA 92691-6404

Ph: (949) 364-5090

Reviews and Comments


Internal Medicine Doctors in Mission Viejo, CA

Amy Thu Bui, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691
Phone: 949-542-8004    Fax: 949-364-3682
Michael Pm Truong, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691
Phone: 949-364-3330    Fax: 949-364-3682
Erene Nawar Sami, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 26800 Crown Valley Pkwy Ste 485, Mission Viejo, CA 92691
Phone: 949-364-5830    
Dr. Paul A Wehrle, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 26800 Crown Valley Pkwy., Suite 100, Mission Viejo, CA 92691
Phone: 949-364-6000    Fax: 949-364-1647
Dr. Brett Michael Wertman, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 27800 Medical Center Rd, Suite 222, Mission Viejo, CA 92691
Phone: 949-276-2446    Fax: 949-276-2449
Dr. Eric Olson Benner, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691
Phone: 949-364-6000    Fax: 949-364-1204
Dr. Richard Jacob, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 26800 Crown Valley Pkwy, Suite 250, Mission Viejo, CA 92691
Phone: 949-364-3570    Fax: 949-364-3430

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.