Individual provider Active NPI

Edgar Sosa, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1699938472
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
OS-14580 Issued in FL
Practice address
5070 Highway A1A Ste a
Vero Beach, FL 32963-1229
Phone
(772) 234-3700
Fax
(772) 234-3770
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X OS-14580 FL
Plastic and Reconstructive Surgery Physician 2086S0122X OS-14580 FL Primary

Addresses

Primary practice location

5070 Highway A1A Ste a
Vero Beach, FL 32963-1229

Mailing address

5070 Highway A1A Ste a
Vero Beach, FL 32963-1229
Phone (772) 234-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181207001434 FL Practitioner - General Surgery 5294979415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Nebraska Cir
Sebastian, FL 32958-6702

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision47
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-14580FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Facial Cosmetic & Laser Surgery Center Inc Single Specialty PastSince Feb 23, 2025 Accepting new patients
Dean L. Johnston, MD., Inc Single Specialty PastSince Aug 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: esosa@directaddress.net
  • Direct secure messaging: esosa@ops-fl.direct.office.nextgen.com

Organizations & group practices 3

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 1

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1699938472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 HIGHWAY A1A STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631229",
            "telephone_number": "772-234-3700",
            "fax_number": "772-234-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 HIGHWAY A1A STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631229",
            "telephone_number": "772-234-3700",
            "fax_number": "772-234-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "EDGAR",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "OS-14580",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "OS-14580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.