Individual provider Active NPI

Steven B Sotman, M.D.

  • Infectious Disease Physician
  • Fort Worth, TX
National Provider Identifier
1114971132
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
F5380 Issued in TX
Practice address
6100 Harris Pkwy
Suite 1210
Fort Worth, TX 76132-0000
Phone
(281) 295-4153
Fax
(817) 877-3493
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X F5380 TX Primary

Addresses

Primary practice location

6100 Harris Pkwy
Suite 1210
Fort Worth, TX 76132-0000

Mailing address

PO Box 34222
Fort Worth, TX 76162-4222
Phone (281) 295-4153

Other identifiers 1

IdentifierTypeStateIssuer
123422105MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110510000546 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 3072600139 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F5380TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven B Sotman, MD PA Infectious Disease CurrentSince Jan 1, 2003 Accepting new patients
Meridian Infectious Disease Consultants, PLLC Infectious Disease CurrentSince Feb 11, 2024 Accepting new patients

Locations

6100 Harris Pkwy
Ste 1210
Ft Worth, TX 76132
Phone (817) 841-9447

1350 S Main St
Ste 1300
Ft Worth, TX 76104
Phone (817) 877-3442

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1114971132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34222",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761624222",
            "telephone_number": "281-295-4153",
            "fax_number": "817-877-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 1210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761320000",
            "telephone_number": "281-295-4153",
            "fax_number": "817-877-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTMAN",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "F5380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123422105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.