Active NPI
Emilio Soria, M.D.
- Neurology Physician
- Merrillville, IN
National Provider Identifier
1013060458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01053307
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184921 | Other | ANTHEM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053307 | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Center of Northwest Indiana, LLC | Current | 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
- 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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Munster, IN
- NPI 1598832750
-
- Sleep Disorder Diagnostic Clinic/Center
- Crown Point, IN
- NPI 1275622771
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.