Active NPI
Talia B Sotomayor, M.D.
- Pediatric Pulmonology Physician
- Morgantown, WV
National Provider Identifier
1194894477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 22524
- Practice address
- 1100 Fort Pierpont Dr Ste 102
Morgantown, WV 26508-1329 - Phone
- (304) 284-8999
- Fax
- (304) 284-9777
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 22524 | WV | Primary |
Addresses
Primary practice location
1100 Fort Pierpont Dr Ste 102
Morgantown, WV 26508-1329
Mailing address
1100 Fort Pierpont Dr Ste 102
Morgantown, WV 26508-1329
Phone (304) 284-8999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3910006278 | Medicaid | WV | |
| 3810006966 | Medicaid | WV |
Other names 1
- Talia B Sotomayor Valenzuela
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Lung & Asthma Center, PLLC | Pediatric Pulmonology | Current | Accepting new patients |
Locations
1284 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 296-6600
Organizations & group practices 1
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": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1194894477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 FORT PIERPONT DR STE 102",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081329",
"telephone_number": "304-284-8999",
"fax_number": "304-284-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 FORT PIERPONT DR STE 102",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081329",
"telephone_number": "304-284-8999",
"fax_number": "304-284-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTOMAYOR",
"first_name": "TALIA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "WV",
"license": "22524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3910006278",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810006966",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TALIA",
"last_name": "SOTOMAYOR VALENZUELA",
"middle_name": "B",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.