NPIMap

Individual provider Active NPI

Luis Soto, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Tulsa, OK
National Provider Identifier
1679872329
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
33984 Issued in OK
Practice address
6565 S Yale Ave Ste 410
Tulsa, OK 74136-8305
Phone
(918) 712-5571
NPI assigned
Mar 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 33984 OK Primary

Addresses

Primary practice location

6565 S Yale Ave Ste 410
Tulsa, OK 74136-8305

Mailing address

6565 S Yale Ave Ste 410
Tulsa, OK 74136-8305
Phone (918) 712-5571

Other identifiers 2

IdentifierTypeStateIssuer
200777030AMedicaidOK
2449711MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180726000418 OK Practitioner - Pathology 4587955232 Reassigns benefits to 1 organization
I20200603002111 TX Practitioner - Pathology 4587955232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lab Medicine of Greater Tulsa PCGroup PAC ID 9436117512, 12 clinicians

Practice addresses (Care Compare)

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-1420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.51 of 100Reported as group
Quality
76.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Medical Laboratory, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 8, 2023 Accepting new patients
Saint Francis Outreach Services LLC Current Accepting new patients
Lab Medicine of Greater Tulsa, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2018 Accepting new patients
Tulsa Medical Laboratory, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 8, 2023 Accepting new patients
Cherokee Nation CurrentSince Mar 1, 2020 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Mar 1, 2020 Accepting new patients
Cherokee Nation Current Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000

2738 E 51st St
Ste 240
Tulsa, OK 74105
Phone (918) 742-1478

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

5110 S Yale Ave
Ste 100
Tulsa, OK 74135
Phone (918) 712-5571

Dept 2269
Tulsa, OK 74182

6565 S Yale Ave
Ste 410
Tulsa, OK 74136
Phone (918) 712-5571

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 10

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 6

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1679872329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE STE 410",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368305",
            "telephone_number": "918-712-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE STE 410",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368305",
            "telephone_number": "918-712-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "33984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200777030A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2449711",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.