Individual provider Active NPI

Drew Soda, PA

  • Medical Physician Assistant
  • New Hope, PA
National Provider Identifier
1679233142
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
408 Lower York Road
New Hope, PA 18938
Phone
(215) 862-6000
NPI assigned
Dec 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

408 Lower York Road
New Hope, PA 18938

Mailing address

307 Holly Hill Rd
Richboro, PA 18954-1967
Phone (215) 499-9660

Other practice location 1

670 Lawn Ave Ste 1A
Sellersville, PA 18960-1571
Phone (215) 257-0196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220307002503 PA Practitioner - Physician Assistant 0749674844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Dermatology of Pennsylvania LLCGroup PAC ID 9931330156, 5 clinicians

Practice addresses (Care Compare)

670 Lawn Ave
Sellersville, PA 18960-1571
Phone (215) 257-0196

Merit-based Incentive Payment System (MIPS)

Final score
92.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dermatology of Pennsylvania, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dsodapac@shrager.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1679233142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HOLLY HILL RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541967",
            "telephone_number": "215-499-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 LOWER YORK ROAD",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "18938",
            "telephone_number": "215-862-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Lawn Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Sellersville",
            "state": "PA",
            "postal_code": "189601571",
            "country_code": "US",
            "telephone_number": "215-257-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODA",
        "first_name": "DREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, PA

Sources for this page

Verify at the official NPI Registry.