Active NPI
Christa Danielle Soekamto, M.D.
- Ophthalmology Physician
- Schertz, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- S5502
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 99.87
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S5502 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retinal Consultants of San Antonio | Ophthalmology | Current | Accepting new patients |
| Retina Consultants of Houston PLLC | Ophthalmology | Current | Accepting new patients |
| Retina Consultants of Houston PLLC | Ophthalmology | Current | Accepting new patients |
| Retina Consultants of Houston PLLC | Ophthalmology | Current | Accepting new patients |
| Retina Consultants of Houston PLLC | Ophthalmology | Past | Accepting new patients |
| SLN Medical Specialists, LLC | Internal Medicine | Past | 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
- csoekamto@retinasa.intellechartdirect.net
- 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.
-
- Retina Specialist (Ophthalmology) Physician
- Bellaire, TX
- NPI 1902975352
-
- Retina Specialist (Ophthalmology) Physician
- Livingston, TX
- NPI 1619135647
-
- Retina Specialist (Ophthalmology) Physician
- Beaumont, TX
- NPI 1720758709
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1962509141
-
- Ophthalmology Physician
- Pearland, TX
- NPI 1780294629
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1730367129
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.