Individual provider Active NPI

Antonio R Soto Ramos

  • Gastroenterology Physician
  • Kissimmee, FL
National Provider Identifier
1275821050
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
135194 Issued in FL
Practice address
710 Oak Commons Blvd
Kissimmee, FL 34741-4100
Phone
(407) 846-6747
Fax
(407) 846-6186
NPI assigned
Jul 14, 2011
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 19053 PR
Gastroenterology Physician 207RG0100X 135194 FL Primary

Addresses

Primary practice location

710 Oak Commons Blvd
Kissimmee, FL 34741-4100

Mailing address

710 Oak Commons Blvd
Kissimmee, FL 34741-4100
Phone (407) 846-6747

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
I20190212001657 FL Practitioner - Gastroenterology 0143568436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University Central del Caribe Escuela de Medicina, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Gastroenterology, P.a.Group PAC ID 4587818463, 7 clinicians

Practice addresses (Care Compare)

1507 S Hiawassee Rd
Suite 105
Orlando, FL 32835-5706
Phone (407) 445-9224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19053PRMDInternal Medicine Physician
135194FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Gastroenterology, P.a. Gastroenterology CurrentSince Aug 1, 2024 Accepting new patients

Locations

1507 S Hiawassee Rd
Ste 105
Orlando, FL 32835
Phone (407) 445-9224

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: asotoramos179049@orlandohealth.medalliesdirect.net

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1275821050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414100",
            "telephone_number": "407-846-6747",
            "fax_number": "407-846-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414100",
            "telephone_number": "407-846-6747",
            "fax_number": "407-846-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO RAMOS",
        "first_name": "ANTONIO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19053",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "135194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.