Individual provider Active NPI

Alfred Soto, MD

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1265438105
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME108080 Issued in FL
Practice address
1580 Santa Barbara Blvd
Suite C
The Villages, FL 32159-6827
Phone
(352) 259-2159
Fax
(352) 259-5731
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01046796A IN
Internal Medicine Physician 207R00000X ME108080 FL Primary

Addresses

Primary practice location

1580 Santa Barbara Blvd
Suite C
The Villages, FL 32159-6827

Mailing address

1580 Santa Barbara Blvd
Suite C
The Villages, FL 32159-6827
Phone (352) 259-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101028001051 FL Practitioner - Internal Medicine 8426056607 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians

Practice addresses (Care Compare)

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME108080FLMDInternal Medicine Physician
01046796AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida Healthcare, PA Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Premier Medical Associates All Florida, LLC Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Jan 1, 2021 Accepting new patients
Premier Medical Associates of Florida LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Moberly Medical Clinics Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Midwest Heart and Vein Center, LLC Past Accepting new patients
Moberly Medical Clinics Inc Past Accepting new patients

Locations

1004 N 14th St
Ste 109
Leesburg, FL 34748
Phone (352) 978-4888

1800 SE 17th St
Ste 700
Ocala, FL 34471
Phone (352) 789-6008

9311 SW Highway 200
Ocala, FL 34481
Phone (352) 561-3222

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

1580 Santa Barbara Blvd
Ste C
The Villages, FL 32159

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: alfred.soto@pmaaf.eclinicaldirectplus.com

Organizations & group practices 9

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1265438105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "address_2": "SUITE C",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "address_2": "SUITE C",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ALFRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046796A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.