Individual provider Active NPI

Ekaterina V Soforo, M.D.

  • Rheumatology Physician
  • Sheboygan, WI
National Provider Identifier
1700077054
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
52056-20 Issued in WI
Practice address
1414 N Taylor Dr Ste 110
Sheboygan, WI 53081-3090
Phone
(920) 320-5241
NPI assigned
Aug 1, 2007
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 52056-20 WI Primary

Addresses

Primary practice location

1414 N Taylor Dr Ste 110
Sheboygan, WI 53081-3090

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900

Other practice location 1

1650 S 41st St
Manitowoc, WI 54220-7316
Phone (920) 320-4500

Other practice location 2

200 Theda Clark Medical Plz Ste 240
Neenah, WI 54956-2790
Phone (920) 729-2933

Other identifiers 2

IdentifierTypeStateIssuer
207R00000XMedicaidWI
P00976931OtherWIRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20081009000252 WI Practitioner - RheumatologyPractitioner - Internal Medicine 3072543784 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Beginnings, LLCGroup PAC ID 7012189848, 19 clinicians
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

1125 N 13TH St
Sheboygan, WI 53081-3281
Phone (920) 803-1617

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

200 Theda Clark Medical PLZ
Neenah, WI 54956-2721
Phone (920) 358-1223

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52056-20WIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Thedacare, Incorporated CurrentSince Sep 1, 2025 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Oct 18, 2021 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Jan 10, 2025 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Sep 15, 2021 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Oct 18, 2021 Accepting new patients

Locations

7395 Solutions Ctr
Chicago, IL 60677

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

1650 S 41st St
Manitowoc, WI 54220
Phone (920) 320-3100

N88W14275 Main St
Ste 200
Menomonee Falls, WI 53051
Phone (262) 509-2600

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

200 Theda Clark Medical Plz
Neenah, WI 54956
Phone (920) 358-1223

200 Theda Clark Medical Plz
Ste 240
Neenah, WI 54956
Phone (920) 725-2070

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

1414 N Taylor Dr
Ste 110
Sheboygan, WI 53081
Phone (920) 208-9000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: esoforo153680@direct.froedtert.com

Organizations & group practices 7

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 5

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1700077054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-830-5900",
            "fax_number": "920-830-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N TAYLOR DR STE 110",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813090",
            "telephone_number": "920-320-5241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 S 41st St",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542207316",
            "country_code": "US",
            "telephone_number": "920-320-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Theda Clark Medical Plz Ste 240",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562790",
            "country_code": "US",
            "telephone_number": "920-729-2933",
            "fax_number": "920-727-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOFORO",
        "first_name": "EKATERINA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "52056-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207R00000X",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00976931",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.