Individual provider Active NPI

Maria Victoria Soto, DO

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1245291640
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006588 Issued in OH
Practice address
1365 Bethel Road
Doctors on Bethel Road
Columbus, OH 43220-2611
Phone
(614) 457-5477
Fax
(614) 459-8636
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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 34006588 OH Primary

Addresses

Primary practice location

1365 Bethel Road
Doctors on Bethel Road
Columbus, OH 43220-2611

Mailing address

1365 Bethel Road
Columbus, OH 43220-2611
Phone (614) 457-5477

Other identifiers 1

IdentifierTypeStateIssuer
2045236MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060111001137 OH Practitioner - Family Practice 1557396983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1365 Bethel Rd
Columbus, OH 43220-2611
Phone (614) 457-5477

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006588OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Group, LLC Family Medicine CurrentSince Jan 1, 2005 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1365 Bethel Rd
Columbus, OH 43220
Phone (614) 457-5477

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1245291640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 BETHEL ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202611",
            "telephone_number": "614-457-5477",
            "fax_number": "614-459-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 BETHEL ROAD",
            "address_2": "DOCTORS ON BETHEL ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202611",
            "telephone_number": "614-457-5477",
            "fax_number": "614-459-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045236",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.