Physician Compare National (NPI:1194728923)

HEALTHCARE PROVIDER: NESTOR DANIEL SANTACRUZ MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1194728923
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901903210
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070522000297
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANTACRUZ
	Individual professional last name
Provider First Name	NESTOR
	Individual professional first name
Provider Middle Name	DANIEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	BAYVIEW PHYSICIAN SERVICES PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5597664201
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	282
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2203 E LITTLE CREEK RD
	Group Practice or individual's line 1 address
Line 2 Street Address	ROOSEVELT FAMILY PRACTICE
	Group Practice or individual's line 2 address
City	NORFOLK
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	235184205
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7575832181
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SENTARA NORFOLK GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490046
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SENTARA LEIGH HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490011
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BON SECOURS DEPAUL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	490057
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SENTARA VIRGINIA BEACH GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y