Active NPI
Eliezer Soto, M.D.
- Interventional Pain Medicine Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME159083
- Practice address
- 777 37TH St Ste C101
Vero Beach, FL 32960-7301 - Phone
- (772) 360-1997
- Fax
- (772) 492-3571
- NPI assigned
- Sep 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | ME159083 | FL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | ME159083 | FL | |
| Pain Medicine Physician | 208VP0000X | ME159083 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME159083 | FL | Primary |
Addresses
Primary practice location
777 37TH St Ste C101
Vero Beach, FL 32960-7301
Mailing address
6700 Indian Creek Dr
Apt1502
Miami Beach, FL 33141-5780
Phone (954) 720-3188
Other practice location 1
5200 Babcock St NE Ste 111
Palm Bay, FL 32905-4639
Phone (772) 360-1997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03361093 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
418 Bradley St
Carrollton, GA 30117-3301
Phone (770) 420-4644
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.34 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 67.79
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.56 of 100
- Quality
- 75.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 48.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journeycare, Inc | Current | Accepting new patients | |
| Millennium Pain Center LLC | Current | Accepting new patients | |
| Medical Services Ric | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Non-Surgical Orthopaedics PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Non-Surgical Orthopaedics PC | Current | Accepting new patients | |
| Journeycare, Inc. | Current | Accepting new patients | |
| Journeycare, Inc. | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| The Center for Spine Procedures, LLC | Past | Accepting new patients | |
| Edgewater Beach Foot and Ankle Center, P.C. | Past | Accepting new patients |
Locations
418 Bradley St
Carrollton, GA 30117
Phone (770) 214-9146
1301 Sigman Rd NE
Ste 120
Conyers, GA 30012
Phone (770) 388-9613
1301 Sigman Rd NE
Ste 100
Conyers, GA 30012
Phone (770) 285-6012
335 Roselane St NW
Marietta, GA 30060
Phone (770) 420-4645
335 Roselane St NW
Ste 100
Marietta, GA 30060
Phone (770) 420-4646
2406 E Empire St
Bloomington, IL 61704
Phone (309) 662-4321
1015 S Mercer Ave
Bloomington, IL 61701
Phone (309) 662-0088
2757 Solution Ctr
Chicago, IL 60677
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425
1880 W Winchester Rd
Ste 101
Libertyville, IL 60048
Phone (847) 281-9543
405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
Interoperability endpoints
- esoto145520@direct.rush.rush-health.com
- eliezer.soto.p3@direct.precisionspinecare.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/AJIAAA
- eliezer.soto.p4@direct.precisionspinecare.nextgenshare.com
Organizations & group practices 10
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.
-
- Specialist
- Marietta, GA
- NPI 1871656561
Physical Medicine & Rehabilitation
-
- Community Based Hospice Care Agency
- Barrington, IL
- NPI 1154324994
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1659306587
-
- Pain Clinic/Center
- Bloomington, IL
- NPI 1225196488
-
- Community Based Hospice Care Agency
- Barrington, IL
- NPI 1821049933
-
- Specialist
- Conyers, GA
- NPI 1336929157
-
- Primary Podiatric Medicine Podiatrist
- Chicago, IL
- NPI 1780801548
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Ambulatory Surgical Clinic/Center
- Marietta, GA
- NPI 1780735175
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Kennesaw, GA
- NPI 1770513574
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
-
- General Acute Care Hospital
- Monroe, GA
- NPI 1720589328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1598950990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 INDIAN CREEK DR",
"address_2": "APT1502",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331415780",
"telephone_number": "954-720-3188",
"fax_number": "954-586-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 37TH ST STE C101",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607301",
"telephone_number": "772-360-1997",
"fax_number": "772-492-3571"
}
],
"practiceLocations": [
{
"address_1": "5200 Babcock St NE Ste 111",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329054639",
"country_code": "US",
"telephone_number": "772-360-1997",
"fax_number": "772-492-3541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTO",
"first_name": "ELIEZER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-09",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME159083",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME159083",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME159083",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME159083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03361093",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.