NPIMap

Individual provider Active NPI

Angel Rivera-Soto, M.D.

  • General Practice Physician
  • Dickinson, TX
National Provider Identifier
1255657375
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P7698 Issued in TX
Practice address
676 FM 517 Rd W
Dickinson, TX 77539-3904
Phone
(713) 482-4535
Fax
(713) 482-4560
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X P7698 TX Primary

Addresses

Primary practice location

676 FM 517 Rd W
Dickinson, TX 77539-3904

Mailing address

PO Box 1619
Dickinson, TX 77539-1619
Phone (713) 482-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014000528 TX Practitioner - General Practice 1850511940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

646 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (281) 218-7200

676 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (713) 482-4535

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7698TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Mar 8, 2017 Accepting new patients
St. Elizabeth Physician Group, PLLC CurrentSince May 28, 2019 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Mar 8, 2017 Accepting new patients
Vitrics Physician Group, PLLC CurrentSince Jun 26, 2021 Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

676 FM 517 Rd W
Dickinson, TX 77539
Phone (713) 335-9571

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1009 S Broadway St
La Porte, TX 77571
Phone (281) 471-4202

33300 Egypt Ln
Ste I300
Magnolia, TX 77354
Phone (713) 331-5461

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: angel.rivera-soto.1@8042.direct.athenahealth.com

Organizations & group practices 4

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 9

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1255657375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1619",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775391619",
            "telephone_number": "713-482-4535",
            "fax_number": "713-482-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393904",
            "telephone_number": "713-482-4535",
            "fax_number": "713-482-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-SOTO",
        "first_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "P7698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

Verify at the official NPI Registry.