Individual provider Active NPI

Christa Danielle Soekamto, M.D.

  • Ophthalmology Physician
  • Schertz, TX
National Provider Identifier
1558725697
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
S5502 Issued in TX
Practice address
17319 Interstate 35 N Ste 303
Schertz, TX 78154-1282
Phone
(808) 833-5921
Fax
(713) 513-5613
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2016022955 MO
Retina Specialist (Ophthalmology) Physician 207WX0107X S5502 TX
Ophthalmology Physician 207W00000X S5502 TX Primary

Addresses

Primary practice location

17319 Interstate 35 N Ste 303
Schertz, TX 78154-1282

Mailing address

6300 West Loop S Ste 500
Bellaire, TX 77401-2903
Phone (713) 524-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200519000007 TX Practitioner - Ophthalmology 5890088488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Houston PLLCGroup PAC ID 6103841820, 26 clinicians

Practice addresses (Care Compare)

21 Spurs LN
San Antonio, TX 78240-1669
Phone (800) 833-5921

Merit-based Incentive Payment System (MIPS)

Final score
99.93 of 100Reported as group
Quality
99.87
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5502TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retinal Consultants of San Antonio Ophthalmology Current Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology CurrentSince Sep 11, 2022 Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology Past Accepting new patients
SLN Medical Specialists, LLC Internal Medicine PastSince Sep 11, 2022 Accepting new patients

Locations

6300 West Loop S
Ste 500
Bellaire, TX 77401
Phone (281) 435-4788

116 Herff Rd
Ste 101
Boerne, TX 78006

2620 Highway 36 S
Brenham, TX 77833

755 S Washington St
Fredericksburg, TX 78624
Phone (830) 997-6535

1446 Sidney Baker St
Kerrville, TX 78028
Phone (830) 792-4466

400 Bypass Ln
Ste 105
Livingston, TX 77352
Phone (936) 327-7812

218 E Austin St
New Braunfels, TX 78130
Phone (830) 625-6905

1314 E Sonterra Blvd
Ste 2104
San Antonio, TX 78258

21 Spurs Ln
San Antonio, TX 78240
Phone (210) 614-0187

10439 State Highway 151
San Antonio, TX 78251

17319 Interstate 35 N
Ste 303
Schertz, TX 78154
Phone (808) 833-5921

908 E Court St
Seguin, TX 78155
Phone (830) 379-1618

Interoperability endpoints

  • Direct secure messaging: csoekamto@retinasa.intellechartdirect.net
  • Direct secure messaging: csoekamto@houstonretina.intellechartdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1558725697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 500",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012903",
            "telephone_number": "713-524-3434",
            "fax_number": "713-513-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17319 INTERSTATE 35 N STE 303",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541282",
            "telephone_number": "808-833-5921",
            "fax_number": "713-513-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOEKAMTO",
        "first_name": "CHRISTA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2016022955",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "S5502",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S5502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.