Individual provider Active NPI

Carlos M Sotolongo, MD

  • Cardiovascular Disease Physician
  • Jacksonville Beach, FL
National Provider Identifier
1639171044
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME70357 Issued in FL
Practice address
1320 Roberts Dr Ste 101
Jacksonville Beach, FL 32250-3253
Phone
(904) 241-7147
Fax
(904) 376-3213
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X ME70357 FL
Cardiovascular Disease Physician 207RC0000X ME70357 FL Primary

Addresses

Primary practice location

1320 Roberts Dr Ste 101
Jacksonville Beach, FL 32250-3253

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 202-2092

Other practice location 1

400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237
Phone (904) 271-7540

Other identifiers 2

IdentifierTypeStateIssuer
379608600MedicaidFL
P00188533OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000425 FL Practitioner - Cardiovascular Disease (Cardiology) 8123913688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

1320 Roberts Dr
Suite 101
Jacksonville Beach, FL 32250-3253
Phone (904) 241-7147

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Cardiology Inc Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Ecg Associates of Jacksonville P a CurrentSince Jan 1, 2004 Accepting new patients
Memorial Ekg Associates Past Accepting new patients
Baptist Specialty Physicians Inc Past Accepting new patients

Locations

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

1905 Corporate Square Blvd
Jacksonville, FL 32216
Phone (904) 720-0599

836 Prudential Dr
Ste 700
Jacksonville, FL 32207
Phone (904) 398-0138

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

1361 13th Ave S
Ste 270
Jacksonville Beach, FL 32250
Phone (904) 241-7147

1320 Roberts Dr
Ste 101
Jacksonville Beach, FL 32250
Phone (904) 241-7147

400 Colonnade Dr
Rm D2
Ponte Vedra, FL 32081

Interoperability endpoints

  • Direct secure messaging: csotolongo28140@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1639171044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ROBERTS DR STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503253",
            "telephone_number": "904-241-7147",
            "fax_number": "904-376-3213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Colonnade Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320816237",
            "country_code": "US",
            "telephone_number": "904-271-7540",
            "fax_number": "904-376-3204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTOLONGO",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME70357",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME70357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379608600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00188533",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.