NPIMap

Individual provider Active NPI

Edgar A. Sotomayor, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Butler, PA
National Provider Identifier
1639284268
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD427950 Issued in PA
Practice address
911 E Brady St
Butler, PA 16001-4646
Phone
(724) 284-4510
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 23479 NE
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD427950 PA Primary

Addresses

Primary practice location

911 E Brady St
Butler, PA 16001-4646

Mailing address

PO Box 1549
Butler, PA 16003-1549
Phone (724) 284-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000406 PA Practitioner - Pathology 1759335615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler Hospital Care Associates
Butler, PA 16001-4670
Phone (724) 285-0823

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Removal of skin cancer1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD427950PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Oct 1, 2007 Accepting new patients
Butler Medical Providers Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2007 Accepting new patients
Butler Medical Providers Current Accepting new patients
El Paso County Hospital District PastSince Jan 14, 2024 Accepting new patients
Creighton University Anatomic Pathology & Clinical Pathology Past Accepting new patients
Creighton University Past Accepting new patients
El Paso County Hospital District Past Accepting new patients

Locations

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Organizations & group practices 7

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1639284268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-284-4084",
            "fax_number": "724-284-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E BRADY ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014646",
            "telephone_number": "724-284-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMAYOR",
        "first_name": "EDGAR",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "23479",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD427950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.