Individual provider Active NPI

Ricardo Federico Sotomora, M.D.

  • Pediatric Cardiology Physician
  • Little Rock, AR
National Provider Identifier
1477503340
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
C4975 Issued in AR
Practice address
1100 N University Ave
Suite #142
Little Rock, AR 72207-6365
Phone
(501) 217-9890
Fax
(501) 227-4215
NPI assigned
May 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X C4975 AR Primary

Addresses

Primary practice location

1100 N University Ave
Suite #142
Little Rock, AR 72207-6365

Mailing address

25 River Ridge Cir
Little Rock, AR 72227-1523
Phone (501) 217-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20241216001561 AR Practitioner - Pediatric Medicine 2466732375 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C4975ARMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Dec 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Dec 1, 2024 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Ste 2D
Little Rock, AR 72205
Phone (501) 202-2077

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477503340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RIVER RIDGE CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722271523",
            "telephone_number": "501-217-9890",
            "fax_number": "501-227-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE",
            "address_2": "SUITE #142",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076365",
            "telephone_number": "501-217-9890",
            "fax_number": "501-227-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMORA",
        "first_name": "RICARDO",
        "middle_name": "FEDERICO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AR",
            "license": "C4975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.