Loren L Soria, MD
Individual provider Active NPI Internal Medicine Physician · Geneseo, IL
NPI 1700864295 · NPPES record last updated May 21, 2012
Key facts
- NPI
- 1700864295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036098430 (IL)
- Practice address
- 600 N College Ave
Suite 120
Geneseo, IL 61254-1091 - Phone
- (309) 944-5342
- Fax
- (309) 944-8192
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hammond Henry Dist Hospital
Practice addresses (Care Compare)
600 N College Ave
Geneseo, IL 61254-1007
Phone (309) 944-9124
600 N College Ave
Suite 120
Geneseo, IL 61254-1092
Phone (309) 944-1275
Hospital & facility affiliations
- Home HLTH SVCS of Hammond Henry Hosp
- Hammond Henry Hospital
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Manor Court of Princeton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050607001209 | IL | Practitioner - Internal Medicine |
3173566445 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hammond Henry Dist Hospital | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current |
Accepting new patients | |
| Hammond Henry Dist Hospital | Current |
Accepting new patients |
Locations
203 W Front St
Annawan, IL 61234
Phone (309) 935-4100
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
600 N College Ave
Ste 110
Geneseo, IL 61254
Phone (309) 944-1595
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
1258 W South St
Ste 2
Kewanee, IL 61443
Interoperability endpoints
- lsoria231562@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036098430 | IL | Yes |
| Pediatrics Physician | 208000000X | 036098430 | IL |
Addresses
Primary practice location
600 N College Ave
Suite 120
Geneseo, IL 61254-1091
Mailing address
600 N College Ave
Suite 120
Geneseo, IL 61254-1091
Phone (309) 944-5342
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098430 | Medicaid | IL | |
| 1700864295 | Medicaid | IA | |
| P00255065 | Other | IL | RR MEDICARE |
Other providers in Geneseo, IL
- Timmy Duane Shannon
- Sharshon Pharmacy, Inc.
- Robyn Smith
- Emily Snyder
- Deborah L. Sommers-Krause
- Katie Anne Sowder
- Rebecca Lynn Spensley
- Step Ahead Foot Care SC
- Karen S Swan
- Matthew Albert Teijido
All providers in Geneseo, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.