Individual provider Active NPI

Iveth Soza, D.O.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1467421875
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5913 Issued in TX
Practice address
810 SE Military Drive
San Antonio, TX 78214-2823
Phone
(210) 921-4200
Fax
(210) 922-8181
NPI assigned
Mar 16, 2006
Last updated
Jun 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L5913 TX Primary

Addresses

Primary practice location

810 SE Military Drive
San Antonio, TX 78214-2823

Mailing address

2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800

Other identifiers 1

IdentifierTypeStateIssuer
157011105MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040921000033 TX Practitioner - Family Practice 8527036284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Primecare, IncGroup PAC ID 8628073236, 70 clinicians

Practice addresses (Care Compare)

810 S E Military Dr
Physician Primecare Val Verde
San Antonio, TX 78214-2823
Phone (210) 921-4200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Primecare, Inc Family Medicine CurrentSince Jun 7, 2010 Accepting new patients
Military Apothecary LP CurrentSince Feb 1, 2020 Accepting new patients
Community Medicine Associates Family Medicine PastSince Aug 1, 2006 Accepting new patients

Locations

2911 S New Braunfels Ave
San Antonio, TX 78210
Phone (210) 377-1133

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

810 SE Military Dr
San Antonio, TX 78214
Phone (210) 921-4200

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

Interoperability endpoints

  • Direct secure messaging: iveth.soza@htmg.eclinicaldirectplus.com

Organizations & group practices 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1467421875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SE MILITARY DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142823",
            "telephone_number": "210-921-4200",
            "fax_number": "210-922-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOZA",
        "first_name": "IVETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157011105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.