Individual provider Active NPI

Javier J Soto, M.D.

  • Obstetrics & Gynecology Physician
  • Merritt Island, FL
National Provider Identifier
1104881044
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME90297 Issued in FL
Practice address
150 N Sykes Creek Pkwy Ste 300
Merritt Island, FL 32953-3488
Phone
(321) 459-1192
Fax
(321) 459-2304
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME90297 FL
Obstetrics & Gynecology Physician 207V00000X ME90297 FL Primary

Addresses

Primary practice location

150 N Sykes Creek Pkwy Ste 300
Merritt Island, FL 32953-3488

Mailing address

150 N Sykes Creek Pkwy Ste 300
Merritt Island, FL 32953-3488
Phone (321) 459-1192

Other practice location 1

255 Fortenberry Rd
A-1
Merritt Island, FL 32952-3601
Phone (321) 459-1192

Other identifiers 2

IdentifierTypeStateIssuer
270057300MedicaidFL
124507700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040929000307 FL Practitioner - Obstetrics/Gynecology 1456320290 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University Central del Caribe Escuela de Medicina, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

150 N Sykes Creek Pkwy
Suite 300
Merritt Island, FL 32953-3488
Phone (772) 589-6400

Hospital & facility affiliations

  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles (10 of 12)

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Feb 12, 2026 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Feb 12, 2026 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
Florida Department of Health CurrentSince Sep 24, 2024 Accepting new patients
Steward Medical Group, Inc. Obstetrics & Gynecology CurrentSince May 1, 2017 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Feb 1, 2025 Accepting new patients
Florida Department of Health CurrentSince Sep 24, 2024 Accepting new patients
Partners in Womens Health LLC Obstetrics & Gynecology Past Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

150 N Sykes Creek Pkwy
Ste 300
Merritt Island, FL 32953
Phone (321) 449-4168

2575 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 454-7148

255 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 338-7885

255 Fortenberry Rd
Ste A1
Merritt Island, FL 32952
Phone (321) 459-1192

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1133 Seminole Dr
Rockledge, FL 32955
Phone (321) 637-2975

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

5600 Porada Dr
Ste 104A
Viera, FL 32940
Phone (321) 459-1192

2555 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 615-9337

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: javier.soto.1@15594.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1104881044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SYKES CREEK PKWY STE 300",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533488",
            "telephone_number": "321-459-1192",
            "fax_number": "321-459-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SYKES CREEK PKWY STE 300",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533488",
            "telephone_number": "321-459-1192",
            "fax_number": "321-459-2304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Fortenberry Rd",
            "address_2": "A-1",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329523601",
            "country_code": "US",
            "telephone_number": "321-459-1192",
            "fax_number": "321-459-2304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "JAVIER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME90297",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME90297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270057300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124507700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.