Individual provider Active NPI

Henry Souto, D.O.

  • Emergency Medicine Physician
  • Somers Point, NJ
National Provider Identifier
1518078211
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MB69255 Issued in NJ
Practice address
1 E New York Ave
Department of Emergency Medicine
Somers Point, NJ 08244-2340
Phone
(609) 926-4293
NPI assigned
Aug 31, 2006
Last updated
Jun 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MB69255 NJ Primary

Addresses

Primary practice location

1 E New York Ave
Department of Emergency Medicine
Somers Point, NJ 08244-2340

Mailing address

1 E New York Ave
Department of Emergency Medicine
Somers Point, NJ 08244-2340
Phone (609) 926-4293

Other identifiers 1

IdentifierTypeStateIssuer
8003106MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040426001412 NJ Practitioner - Emergency Medicine 1658368428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers School of Dental Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayfront Emergency Physicians PAGroup PAC ID 4587658778, 9 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (302) 273-2247

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.82 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
52.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB69255NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayfront Emergency Physicians PA Emergency Medicine CurrentSince Oct 29, 2018 Accepting new patients
South Jersey Health System Emergency Physician Services P a Emergency Medicine Past Accepting new patients
Leeds Emergency Physicians Emergency Medicine Past Accepting new patients
Atlantic Emergency Associates - Hammonton Sed LLC Emergency Medicine PastSince Feb 8, 2023 Accepting new patients
Main Line Emergency Med Associates LLC Emergency Medicine Past Accepting new patients
Kessler Emergency Room Physicians Associates PA Emergency Medicine PastSince Apr 1, 2007 Accepting new patients
Atlantic Emergency Associates, PA Emergency Medicine PastSince Feb 8, 2023 Accepting new patients

Locations

56 W Main St
Ste 203
Christiana, DE 19702

Organizations & group practices 7

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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1518078211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E NEW YORK AVE",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442340",
            "telephone_number": "609-926-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E NEW YORK AVE",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442340",
            "telephone_number": "609-926-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTO",
        "first_name": "HENRY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB69255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8003106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.