Active NPI
Pooja Sofat, M.D.
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME170989
- Practice address
- 11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206 - Phone
- (239) 208-2212
- NPI assigned
- Sep 2, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35.152071 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | N/A | NY | |
| Neurology Physician | 2084N0400X | ME170989 | FL | Primary |
| Neurology Physician | 2084N0400X | 272909 | MA | |
| Neurology Physician | 2084N0400X | 284390 | NY |
Addresses
Primary practice location
11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Mailing address
77 Goodell St
Buffalo, NY 14203-1243
Other practice location 1
5851 Main St
Williamsville, NY 14221-5799
Phone (716) 932-6080
Other practice location 2
630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110067767A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OH, NH, MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3720
1001 Main St
FL 4
Buffalo, NY 14203-1009
Phone (716) 323-0500
5851 Main St
Williamsville, NY 14221-5799
Phone (716) 932-6080
665 Elm St
Buffalo, NY 14203-1104
Phone (716) 845-2300
Hospital & facility affiliations
- Kaleida Health
- Kenmore Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Virtual Neurology, LLC | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Concord Hospital-Laconia | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Essex Neurological Associates | Neurology | Past | Accepting new patients |
| Western New York Licensed Clinical Social Work Services, PLLC | Past | Accepting new patients |
Locations
9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
15 Aiken Ave
Ste Er
Franklin, NH 03235
15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
80 Highland St
#L
Laconia, NH 03246
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
Interoperability endpoints
- psofat3925820@direct.trinity-health.org
- psofat2961585@carolinashealthcaresystem.direct-ci.com
- poojasofat@ubmd.allscriptsdirect.net
Organizations & group practices 16
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.
-
- Neurology Physician
- Buffalo, NY
- NPI 1649293820
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Critical Access Hospital
- Franklin, NH
- NPI 1700960895
-
- Family Medicine Physician
- Laconia, NH
- NPI 1053993741
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Urgent Care Clinic/Center
- Milford, NH
- NPI 1437758679
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1568779254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 GOODELL ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 METRO PKWY STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661206",
"telephone_number": "239-208-2212"
}
],
"practiceLocations": [
{
"address_1": "5851 Main St",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142215799",
"country_code": "US",
"telephone_number": "716-932-6080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 Eaton Ave",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450132767",
"country_code": "US",
"telephone_number": "513-867-2000",
"fax_number": "513-867-2119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOFAT",
"first_name": "POOJA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.152071",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "N/A",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME170989",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "272909",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "284390",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110067767A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.