Individual provider Active NPI

Eduardo Fernando Soto Interiano, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Hattiesburg, MS
National Provider Identifier
1639433725
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
24822 Issued in MS
Practice address
41 Monarch Blvd
Hattiesburg, MS 39402-7200
Phone
(612) 707-2008
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 24822 MS Primary

Addresses

Primary practice location

41 Monarch Blvd
Hattiesburg, MS 39402-7200

Mailing address

41 Monarch Blvd
Hattiesburg, MS 39402-7200
Phone (612) 707-2008

Other identifiers 1

IdentifierTypeStateIssuer
03827532MedicaidMS

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
I20210824003641 FL Practitioner - Critical Care (Intensivists) 5294034013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians

Practice addresses (Care Compare)

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (561) 299-3667

Hospital & facility affiliations

  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24822MSMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Telehealth, LLC Critical Care Medicine CurrentSince Aug 18, 2021 Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Organizations & group practices 1

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 5

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1639433725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONARCH BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027200",
            "telephone_number": "612-707-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MONARCH BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027200",
            "telephone_number": "612-707-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO INTERIANO",
        "first_name": "EDUARDO",
        "middle_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MS",
            "license": "24822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03827532",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.