Individual provider Active NPI

Sofia Kennedy Prieto, M.D.

  • Cardiovascular Disease Physician
  • Lubbock, TX
National Provider Identifier
1639526338
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
T8021 Issued in TX
Practice address
3601 4TH St # Ms 6211
Lubbock, TX 79430-6211
Phone
(806) 743-3150
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10056140 TX
Cardiovascular Disease Physician 207RC0000X T8021 TX Primary

Addresses

Primary practice location

3601 4TH St # Ms 6211
Lubbock, TX 79430-6211

Mailing address

3601 4TH St # Ms 6211
Lubbock, TX 79430-6211
Phone (210) 381-1657

Other names 1

  • Sofia Terese Kennedy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220629003217 TX Practitioner - Cardiovascular Disease (Cardiology) 1850687815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians
Legacy Heart Care of San AntonioGroup PAC ID 9830316645, 12 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 650-4949

1583 E Common St
106 New Braunfels Cardiac Imaging Ctr
New Braunfels, TX 78130-3174
Phone (210) 757-5583

1583 E Common St
Suite 105
New Braunfels, TX 78130-3321
Phone (210) 967-0096

3701 Roy Richard Dr
Suite 202
Schertz, TX 78154-2796
Phone (210) 967-0096

4411 Medical Dr
San Antonio, TX 78229-3824

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

8401 Datapoint Dr
Suite 421
San Antonio, TX 78229-5900
Phone (210) 558-1800

8811 Village Dr
San Antonio, TX 78217-5415
Phone (210) 297-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.03 of 100Reported as individual
Quality
91.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10056140TXMDInternal Medicine Physician
T8021TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heart Care of San Antonio Cardiovascular Disease Current Accepting new patients
Cardiology Clinic of San Antonio, PLLC Cardiovascular Disease CurrentSince Aug 15, 2022 Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince Feb 1, 2024 Accepting new patients
Legacy Heart Care of Fort Worth, LLC Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Legacy Heartcare of Dallas, LLC Cardiovascular Disease Past Accepting new patients
San Antonio Cardiology Clinic PA Cardiovascular Disease Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

12500 Judson Rd
Ste 300
Live Oak, TX 78233
Phone (210) 473-0246

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

3701 Roy Richard Dr
Ste 202
Schertz, TX 78154

Interoperability endpoints

  • Direct secure messaging: sofia.prieto@hca7.eclinicaldirectplus.com
  • Direct secure messaging: 3543-prieto-sofia@direct.leadingreach.com

Organizations & group practices 6

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1639526338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST # MS 6211",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794306211",
            "telephone_number": "210-381-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST # MS 6211",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794306211",
            "telephone_number": "806-743-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "SOFIA",
        "middle_name": "KENNEDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10056140",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "T8021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOFIA",
            "last_name": "KENNEDY",
            "middle_name": "TERESE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.