Individual provider Active NPI

Emilio Soria, M.D.

  • Neurology Physician
  • Merrillville, IN
National Provider Identifier
1013060458
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01053307 Issued in IN
Practice address
7891 Broadway Ste G
Merrillville, IN 46410-5556
Phone
(219) 756-8000
Fax
(219) 756-3699
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01053307 IN Primary

Addresses

Primary practice location

7891 Broadway Ste G
Merrillville, IN 46410-5556

Mailing address

7891 Broadway Ste G
Merrillville, IN 46410-5556
Phone (219) 756-8000

Other identifiers 1

IdentifierTypeStateIssuer
184921OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511002102 IN Practitioner - NeurologyPractitioner - Psychiatry 0345569448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01053307INMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Center of Northwest Indiana, LLC CurrentSince Jun 10, 2016 Accepting new patients

Locations

9150 E 109th Ave
Ste 1A
Crown Point, IN 46307
Phone (219) 310-8584

7891 Broadway
Ste G
Merrillville, IN 46410
Phone (219) 756-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23576/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1013060458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 BROADWAY STE G",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105556",
            "telephone_number": "219-756-8000",
            "fax_number": "219-924-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 BROADWAY STE G",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105556",
            "telephone_number": "219-756-8000",
            "fax_number": "219-756-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIA",
        "first_name": "EMILIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01053307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "184921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.