NPIMap

Organization Active NPI

J Raul Soto MD PA

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1275625212
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
J RAUL SOTO MD PA
Practice address
7789 Southwest Fwy, Ste 420
Houston, TX 77074-1833
Phone
(713) 580-0234
Fax
(713) 580-0259
NPI assigned
Sep 28, 2006
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mrs. Mary Montoya, CMC
Title
Office Manager
Phone
(713) 580-0234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

7789 Southwest Fwy, Ste 420
Houston, TX 77074-1833

Mailing address

7789 Southwest Fwy, Ste 420
Houston, TX 77074
Phone (713) 580-0234

Other identifiers 5

IdentifierTypeStateIssuer
2804832OtherTXAETNA
10016562OtherTXAMERIGROUP
159754401MedicaidTX
0078JAOtherTXBCBS
060070473OtherTXMEDCARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000494 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0446287031 Reassigns benefits to 4 organizations
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

909 Frostwood Dr
Fl 1
Houston, TX 77024

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1275625212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7789 SOUTHWEST FWY, STE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-580-0234",
            "fax_number": "713-580-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7789 SOUTHWEST FWY, STE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741833",
            "telephone_number": "713-580-0234",
            "fax_number": "713-580-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RAUL SOTO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-580-0234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2804832",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10016562",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159754401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0078JA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCARE RAILROAD",
            "identifier": "060070473",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.