Individual provider Active NPI

Pooja Sofat, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1568779254
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME170989 Issued in FL
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

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110067767AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, NH, MI, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190916000796 NY Practitioner - Neurology 7214295526 Reassigns benefits to 2 organizations
I20241107003348 OH Practitioner - Neurology 7214295526 Reassigns benefits to 1 organization
I20241121002351 NH Practitioner - Neurology 7214295526 Reassigns benefits to 1 organization
I20250110003315 MI Practitioner - Neurology 7214295526 Reassigns benefits to 1 organization
I20250116003952 FL Practitioner - Neurology 7214295526

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Neurology, IncGroup PAC ID 8628048949, 38 clinicians

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 Hospital, Buffalo, NY, CCN 330005
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N/ANYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ub Family Medicine, Inc Current Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Nov 13, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Dec 6, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Nov 13, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Lakeland Medical Practices CurrentSince Dec 6, 2024 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Sep 14, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Nov 23, 2024 Accepting new patients
Concord Hospital-Laconia CurrentSince Nov 24, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Essex Neurological Associates Neurology PastSince Nov 1, 2017 Accepting new patients
Western New York Licensed Clinical Social Work Services, PLLC PastSince Apr 24, 2023 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

  • Direct secure messaging: psofat3925820@direct.trinity-health.org
  • Direct secure messaging: psofat2961585@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.