NPIMap

Individual provider Active NPI

Zatchel Joaquin Soto, MD

  • Adult Medicine Physician
  • Brooksville, FL
National Provider Identifier
1740332485
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD2015-0147 Issued in NM
Practice address
17240 Cortez Blvd
Brooksville Regional Hospital
Brooksville, FL 34601-8978
Phone
(352) 544-6061
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME78008 FL
Adult Medicine Physician 207QA0505X MD2015-0147 NM Primary

Addresses

Primary practice location

17240 Cortez Blvd
Brooksville Regional Hospital
Brooksville, FL 34601-8978

Mailing address

2240 Hwy 98
Bartow, FL 33830
Phone (863) 529-7039

Other identifiers 1

IdentifierTypeStateIssuer
2565455-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78008FLMDFamily Medicine Physician
MD2015-0147NMMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Specialists Inc Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Sabal Palm Emergency Physicians Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: zsoto244585@direct.mmc.mainehealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1740332485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 HWY 98",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "33830",
            "telephone_number": "863-529-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17240 CORTEZ BLVD",
            "address_2": "BROOKSVILLE REGIONAL HOSPITAL",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018978",
            "telephone_number": "352-544-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ZATCHEL",
        "middle_name": "JOAQUIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME78008",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NM",
            "license": "MD2015-0147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565455-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.