NPIMap

Individual provider Active NPI

Daniel Fletcher Soteres, MD

  • Allergy Physician
  • Colorado Springs, CO
National Provider Identifier
1679573588
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
43625 Issued in CO
Practice address
2709 N Tejon Street
Colorado Springs, CO 80907-6231
Phone
(719) 473-0872
Fax
(719) 630-3658
NPI assigned
Jul 21, 2005
Last updated
Jul 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 43625 CO Primary
Allergy Physician 207KA0200X 024632 LA

Addresses

Primary practice location

2709 N Tejon Street
Colorado Springs, CO 80907-6231

Mailing address

2709 N Tejon Street
Colorado Springs, CO 80907-6231
Phone (719) 473-0872

Other identifiers 2

IdentifierTypeStateIssuer
57393MedicaidLA
56536836MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20061114000171 CO Practitioner - Allergy/Immunology 6002850146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2709 N Tejon St
Colorado Springs, CO 80907-6231
Phone (719) 473-0872

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43625COMDAllergy Physician
024632LAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Associates, PC CurrentSince Mar 1, 2006 Accepting new patients
University Physicians, Incorporated CurrentSince Jul 17, 2011 Accepting new patients
Asthma & Allergy Associates, PC Allergy & Immunology CurrentSince Mar 1, 2006 Accepting new patients
University Physicians Incorporated CurrentSince Jul 17, 2011 Accepting new patients
Houma Emergency Medicine Associates LLC Past Accepting new patients
Michael E Isabelle MD Apmc Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1635 Aurora Ct
Aurora, CO 80045
Phone (720) 848-1060

1332 Bauer Ln
Canon City, CO 81212
Phone (719) 275-7485

2709 N Tejon St
Colorado Springs, CO 80907
Phone (303) 473-0872

595 Chapel Hills Dr
Ste 240
Colorado Springs, CO 80920
Phone (719) 364-4120

Dept 1061
Denver, CO 80256

517 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-4016

Interoperability endpoints

  • Direct secure messaging: daniel.soteres@corhio.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1679573588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 N TEJON STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076231",
            "telephone_number": "719-473-0872",
            "fax_number": "719-630-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 N TEJON STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076231",
            "telephone_number": "719-473-0872",
            "fax_number": "719-630-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTERES",
        "first_name": "DANIEL",
        "middle_name": "FLETCHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CO",
            "license": "43625",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "LA",
            "license": "024632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57393",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56536836",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.