Organization Active NPI

Sotomayor Medical Practice, P.C.

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1285783597
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOTOMAYOR MEDICAL PRACTICE, P.C.
Practice address
1220 Centre Ave
Reading, PA 19601-1458
Phone
(610) 898-1200
Fax
(610) 898-7600
NPI assigned
Jan 9, 2007
Last updated
Oct 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Matilde Rodriguez-Sotomayor, M.D.NPI 1932203544
Title
Owner
Phone
(610) 898-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD032776E PA
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1220 Centre Ave
Reading, PA 19601-1458

Mailing address

1220 Centre Ave
Reading, PA 19601-1458
Phone (610) 898-1200

Other identifiers 2

IdentifierTypeStateIssuer
1026312170001MedicaidPA
PENDINGOtherPAMEDICARE GROUP # PENDING

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111108000117 PA Part B Supplier - Clinic/Group Practice 1254504202 Receives reassigned benefits from 5 practitioners
Practice locations: Reading, PA

National Provider Directory

National Provider Directory

Locations

1220 Centre Ave
Reading, PA 19601
Phone (484) 987-2738

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15069/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1285783597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CENTRE AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196011458",
            "telephone_number": "610-898-1200",
            "fax_number": "610-898-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CENTRE AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196011458",
            "telephone_number": "610-898-1200",
            "fax_number": "610-898-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTOMAYOR MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-SOTOMAYOR",
        "authorized_official_first_name": "MATILDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-898-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD032776E",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026312170001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP # PENDING",
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.