Active NPI
Peter Soh
- Neurology Physician
- Omaha, NE
National Provider Identifier
1508398942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 34685
- Practice address
- 8746 Fredrick St
Omaha, NE 68124 - Phone
- (531) 375-5930
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 68958 | CT | |
| General Practice Physician | 208D00000X | 37774 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 34685 | NE | Primary |
Addresses
Primary practice location
8746 Fredrick St
Omaha, NE 68124
Mailing address
2829 S 88TH St # 8746
Omaha, NE 68124-3056
Phone (531) 375-5930
Other practice location 1
100 Perkins Farm Dr Ste 303
Mystic, CT 06355-4041
Phone (860) 696-2925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 19, 2024 through Aug 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34685 | NE | MD | Neurology Physician |
| 37774 | AL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1508398942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 S 88TH ST # 8746",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243056",
"telephone_number": "531-375-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8746 FREDRICK ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68124",
"telephone_number": "531-375-5930"
}
],
"practiceLocations": [
{
"address_1": "100 Perkins Farm Dr Ste 303",
"address_purpose": "LOCATION",
"city": "Mystic",
"state": "CT",
"postal_code": "063554041",
"country_code": "US",
"telephone_number": "860-696-2925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOH",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "68958",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "37774",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NE",
"license": "34685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.