Active NPI
Linda Ivana Sodoma, D.O.
- Obstetrics & Gynecology Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3413
- Practice address
- 4001 E Baseline Rd Ste 208
Gilbert, AZ 85234-2743 - Phone
- (480) 668-4411
- Fax
- (480) 776-5169
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3413 | AZ | Primary |
Addresses
Primary practice location
4001 E Baseline Rd Ste 208
Gilbert, AZ 85234-2743
Mailing address
4001 E Baseline Rd Ste 208
Gilbert, AZ 85234-2743
Phone (480) 668-4411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470386 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4001 E Baseline Rd
Suite 208
Gilbert, AZ 85234-2743
Phone 4806684411684411
Hospital & facility affiliations
- Banner Gateway Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3413 | AZ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda I. Sodoma DO PLC | Gynecology | Current | Accepting new patients |
Locations
3921 E Baseline Rd
Ste 10
Gilbert, AZ 85234
4001 E Baseline Rd
Ste 208
Gilbert, AZ 85234
Phone (480) 668-4411
3921 E Baseline Rd
Ste 100
Gilbert, AZ 85234
Phone (480) 289-5252
6844 E Brown Rd
Ste 101
Mesa, AZ 85207
Phone (480) 832-5500
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.
-
- Gynecology Physician
- Gilbert, AZ
- NPI 1336325927
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1669448577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 E BASELINE RD STE 208",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342743",
"telephone_number": "480-668-4411",
"fax_number": "480-776-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 E BASELINE RD STE 208",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342743",
"telephone_number": "480-668-4411",
"fax_number": "480-776-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODOMA",
"first_name": "LINDA",
"middle_name": "IVANA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "3413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470386",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.