Meliza Sotelo, CRNP
Individual provider Active NPI Family Nurse Practitioner · Baltimore, MD
NPI 1588092423 · NPPES record last updated Nov 13, 2015
Key facts
- NPI
- 1588092423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 191146 (MD)
- Practice address
- 16 S Eutaw St
Suite 400 Otorhinolaryngology-Head and Neck Surgery
Baltimore, MD 21201-1606 - Phone
- (410) 328-1791
- Fax
- (410) 328-0889
- NPI assigned
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Imran H Chowdhury MD PA
Practice addresses (Care Compare)
10816 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone (410) 997-7677
6510 Kenilworth Ave
Suite 2500
Riverdale, MD 20737-1346
Phone (410) 997-7677
Hospital & facility affiliations
- University of Maryland Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131000605 | MD | Practitioner - Nurse Practitioner | 1254641210 | Reassigns benefits to 1 organization |
| I20240226000555 | DC | Practitioner - Nurse Practitioner | 1254641210 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1029386 | DC | MD | Family Nurse Practitioner |
| 191146 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imran H Chowdhury MD PA | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10816 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 997-7677
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
6510 Kenilworth Ave
Ste 2500
Riverdale, MD 20737
Phone (301) 927-9600
Interoperability endpoints
- msotelo154520@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 191146 | MD | Yes |
| Family Nurse Practitioner | 363LF0000X | RN1029386 | DC |
Addresses
Primary practice location
16 S Eutaw St
Suite 400 Otorhinolaryngology-Head and Neck Surgery
Baltimore, MD 21201-1606
Mailing address
3105 Lunar CT
Laurel, MD 20724-6114
Phone (301) 490-7672
Other providers in Baltimore, MD
- Adeyemisi O Sosanya
- Shoshana Soskil
- Patrick R Sosnay
- Sora Sosne
- Patricia Sossoh
- Tara Renee Soth
- Carling Sothoron
- Elias S Sotirchos
- Manuel Soto-Fournier
- Caitlin Soto
All providers in Baltimore, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.