NPIMap

Individual provider Active NPI

Zy A Soto Rodriguez, MD

  • General Practice Physician
  • Clermont, FL
National Provider Identifier
1508972373
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN585 Issued in FL
Practice address
17410 Hwy 50
Ste 110
Clermont, FL 34711-8188
Phone
(407) 240-2361
Fax
(407) 345-8895
NPI assigned
Aug 22, 2006
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16501 PR
General Practice Physician 208D00000X ACN585 FL Primary

Addresses

Primary practice location

17410 Hwy 50
Ste 110
Clermont, FL 34711-8188

Mailing address

6307 Swanson St
Windermere, FL 34786-4118
Phone (787) 376-4194

Other practice location 1

7901 Kingspointe Pkwy
ste 1
Orlando, FL 32819-6520
Phone (407) 240-2361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103000237 FL Practitioner - General Practice 5991700908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17410 E Hwy 50
Suite 110
Clermont, FL 34711

17410 E Hwy 50 110
Vida Care Medical Group
Clermont, FL 34711
Phone (352) 717-4800

6307 Swanson St
Windermere, FL 34786-4118

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zaz Med Inc General Practice CurrentSince Mar 1, 2022 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients
Centralfloridaprimaryphysicians Past Accepting new patients
Central Florida Primary Physicians Past Accepting new patients

Locations

17410 Highway 50
Ste 110
Clermont, FL 34711
Phone (352) 717-4800

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFBGCD/Endpoint/IFBGCD

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1508972373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 SWANSON ST",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347864118",
            "telephone_number": "787-376-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17410 HWY 50",
            "address_2": "STE 110",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118188",
            "telephone_number": "407-240-2361",
            "fax_number": "407-345-8895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Kingspointe Pkwy",
            "address_2": "ste 1",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328196520",
            "country_code": "US",
            "telephone_number": "407-240-2361",
            "fax_number": "407-345-8895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO RODRIGUEZ",
        "first_name": "ZY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16501",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.