DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1073925442

NPI Code Detail

MEDICARE: DR. KELVIN DIOSIRIS SANTOS M.D.

MEDICARE: DR. KELVIN DIOSIRIS SANTOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME129685	FL
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	35.150559	OH
3	207R00000X	Internal Medicine Physician	74151	MN
4	208M00000X	Hospitalist Physician	ME129685	FL
5	207R00000X	Internal Medicine Physician	35.150559	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	JB397Z	OTHER	FL	FL MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073925442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELVIN DIOSIRIS SANTOS M.D.

Provider Business Mailing Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-262-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-863-4000
Fax Number	:	763-236-3026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2014
Last Update Date	:	04/17/2026

Similar Medicare Providers

1780983569 — ROBERT DAVID VICHICH M.D.
Practice Location Address:

2925 CHICAGO AVE
MINNEAPOLIS, MN
55407-1321

Practice Phone: 651-241-9700
Practice Fax:

1053453159 — NISHANT SAHNI MD
Practice Location Address:

2925 CHICAGO AVE
MINNEAPOLIS, MN
55407-1321

Practice Phone: 612-863-4000
Practice Fax: 763-236-3026

1891146569 — MEGAN SUE SOLIMAN MD
Practice Location Address:

2925 CHICAGO AVE
MINNEAPOLIS, MN
55407-1321

Practice Phone: 651-241-9700
Practice Fax:

1528060886 — DR. KENNETH A ADAMS MD
Practice Location Address:

2925 CHICAGO AVE
MINNEAPOLIS, MN
55407-1321

Practice Phone: 612-262-4000
Practice Fax:

1457346926 — DR. SCOTT J BARNACLE MD
Practice Location Address:

2925 CHICAGO AVE
MINNEAPOLIS, MN
55407-1321

Practice Phone: 612-863-4000
Practice Fax: 763-236-3026

1164419644 — ELISA M SMITH APRN, CNS
Practice Location Address:

2925 CHICAGO AVE
MINNEAPOLIS, MN
55407-1321

Practice Phone: 612-262-5000
Practice Fax:

Directions to “ DR. KELVIN DIOSIRIS SANTOS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.