Individual provider Active NPI

Luis E Soriano, MD

  • Family Medicine Physician
  • Buckeye, WV
National Provider Identifier
1215963806
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12186 Issued in WV
Practice address
Duncan Road
Buckeye, WV 24924
Phone
(304) 799-6695
Fax
(304) 799-6644
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12186 WV Primary

Addresses

Primary practice location

Duncan Road
Buckeye, WV 24924

Mailing address

RR 2 Box 54G
Buckeye, WV 24924
Phone (304) 799-6695

Other identifiers 1

IdentifierTypeStateIssuer
0049005000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20110107000364 WV Practitioner - Family Practice 4183813082 Practice locations: Buckeye, WV; Marlinton, WV

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12186WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pocahontas Memorial Hospital PastSince Feb 23, 2020 Accepting new patients
Pocahontas Memorial Hospital PastSince Mar 25, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lsoriano@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1215963806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 54G",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "24924",
            "telephone_number": "304-799-6695",
            "fax_number": "304-799-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DUNCAN ROAD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "24924",
            "telephone_number": "304-799-6695",
            "fax_number": "304-799-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "12186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049005000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, WV

Sources for this page

Verify at the official NPI Registry.