NPIMap

Individual provider Active NPI

Joel Roderick Soma, MD

  • Family Medicine Physician
  • Eagan, MN
National Provider Identifier
1053809020
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65783 Issued in MN
Practice address
1654 Diffley Rd
Ste 100
Eagan, MN 55122-2237
Phone
(651) 641-3900
NPI assigned
Apr 25, 2018
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 65783 MN Primary

Addresses

Primary practice location

1654 Diffley Rd
Ste 100
Eagan, MN 55122-2237

Mailing address

8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516

Other practice location 1

234 Wentworth Ave E
West Saint Paul, MN 55118-3525
Phone (651) 455-2940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729001126 MN Practitioner - Family Practice 3678838265 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

15350 English Ave
Apple Valley, MN 55124-6252
Phone (952) 431-8500

1654 Diffley Rd
Suite 100
Eagan, MN 55122-2237
Phone (651) 641-3900

580 Rice St
Saint Paul, MN 55103-2148
Phone (651) 227-6551

8325 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5868

8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5300

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Feb 13, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Family Healthservices Minnesota, P.a. Family Medicine CurrentSince Aug 30, 2021 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince Feb 13, 2024 Accepting new patients
Fairview Clinics CurrentSince Feb 13, 2024 Accepting new patients
Group Health, Inc. Family Medicine CurrentSince Aug 6, 2025 Accepting new patients
Family Healthservices Minnesota, P.a. Family Medicine CurrentSince Aug 30, 2021 Accepting new patients
Group Health, Inc. Current Accepting new patients
Group Health, Inc. CurrentSince Aug 6, 2025 Accepting new patients
Family Healthservices Minnesota, P.a. Family Medicine Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

1654 Diffley Rd
Ste 100
Eagan, MN 55122
Phone (651) 456-8670

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2025 Sloan Pl
Ste 35
Saint Paul, MN 55117
Phone (651) 772-1572

2601 Centennial Dr
Ste 100
Saint Paul, MN 55109
Phone (651) 777-7414

580 Rice St
Saint Paul, MN 55103
Phone (651) 227-6551

234 Wentworth Ave E
West St Paul, MN 55118
Phone (651) 455-2940

Interoperability endpoints

  • Direct secure messaging: joel.soma@entira.eclinicaldirectplus.com
  • Direct secure messaging: jsoma368692@fairview.direct-ci.com

Organizations & group practices 11

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1053809020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 DIFFLEY RD",
            "address_2": "STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222237",
            "telephone_number": "651-641-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Wentworth Ave E",
            "address_purpose": "LOCATION",
            "city": "West Saint Paul",
            "state": "MN",
            "postal_code": "551183525",
            "country_code": "US",
            "telephone_number": "651-455-2940",
            "fax_number": "651-455-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMA",
        "first_name": "JOEL",
        "middle_name": "RODERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "65783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.