Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesus Santiago, PA

Individual provider Surgical Physician Assistant · NPI 1215044672

Jesus Santiago, PA is a Physician Assistant in Greenwich, Connecticut. Qualified in 1993, 33 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
33
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

25 Valley Dr
Greenwich, CT 06831-5203
Phone: (203) 661-3333
Fax: (203) 661-5610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1215044672
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESOctober 25, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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