NPIMap

Individual provider Active NPI

Angelica Maria Soberon-Cassar, MD

  • Physical Medicine & Rehabilitation Physician
  • Greenville, SC
National Provider Identifier
1497997761
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35710 Issued in SC
Practice address
111 Doctors Dr
Greenville, SC 29605-5622
Phone
(864) 797-7100
Fax
(864) 797-7105
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35710 SC Primary
Physical Medicine & Rehabilitation Physician 208100000X 157658 MT
Physical Medicine & Rehabilitation Physician 208100000X 35184 WV

Addresses

Primary practice location

111 Doctors Dr
Greenville, SC 29605-5622

Mailing address

126 Verdae Crest Dr
Greenville, SC 29607-3961
Phone (864) 546-0153

Other practice location 1

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 2

500 15th Ave S
Great Falls, MT 59405-4324
Phone (406) 455-5000

Other identifiers 2

IdentifierTypeStateIssuer
APPROVEDMedicaidSC
APPROVEDOtherSCRAILROAD MEDICARE

Other names 1

  • Angelica Maria Soberon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asoberon5717@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MT, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131101000063 SC Practitioner - Physical Medicine and Rehabilitation 1052546884 Reassigns benefits to 2 organizations
I20250428001373 MT Practitioner - Physical Medicine and Rehabilitation 1052546884 Reassigns benefits to 1 organization
I20251212001517 WV Practitioner - Physical Medicine and Rehabilitation 1052546884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Florida State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1530 Drayton Rd
Spartanburg, SC 29307
Phone (864) 560-8777

500 15TH Ave S
Great Falls, MT 59405-4324
Phone (406) 455-5000

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-7823

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35710SCMDPharmacist
157658MTMDPhysical Medicine & Rehabilitation Physician
35184WVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Spartanburg Medical Center Physical Medicine & Rehabilitation CurrentSince Aug 1, 2025 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Benefis Hospitals Inc CurrentSince Apr 16, 2025 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Oct 6, 2025 Accepting new patients
Legacy Physiatry Physical Medicine & Rehabilitation CurrentSince Jun 15, 2021 Accepting new patients
West Virginia Rehabilitation Hospital Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

3372 Laurens Rd
Greenville, SC 29607
Phone (864) 537-4600

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

Interoperability endpoints

  • Direct secure messaging: asoberoncassar56151@benefishs.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1497997761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 VERDAE CREST DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073961",
            "telephone_number": "864-546-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTORS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055622",
            "telephone_number": "864-797-7100",
            "fax_number": "864-797-7105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 15th Ave S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594054324",
            "country_code": "US",
            "telephone_number": "406-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBERON-CASSAR",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "35710",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MT",
            "license": "157658",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "35184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPROVED",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "APPROVED",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asoberon5717@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "asoberon5717@direct.ghs.myhfn.org",
            "address_1": "111 Doctors Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296055622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "SOBERON",
            "middle_name": "MARIA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.