Individual provider Active NPI

Elsa Patricia Sotelo-Rafiq, M.D.

  • Anatomic Pathology Physician
  • Houston, TX
National Provider Identifier
1740424142
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
N/A Issued in TX
Practice address
6565 Fannin St
M227
Houston, TX 77030-2703
Phone
(713) 441-3490
Fax
(713) 793-1603
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X N/A TX Primary

Addresses

Primary practice location

6565 Fannin St
M227
Houston, TX 77030-2703

Mailing address

2120 El Paseo St
# 3007
Houston, TX 77054-3241
Phone (713) 383-6899

Other names 1

  • Elsa Patricia Sotelo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101112000889 TX Practitioner - Pathology 3072708239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 N Oregon St
El Paso, TX 79902-3524
Phone (915) 521-1588

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N/ATXMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Pathology Services, PA CurrentSince Jun 1, 2020 Accepting new patients
Pathology Professional Services PA CurrentSince Feb 1, 2018 Accepting new patients

Locations

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1301 E River Ave
El Paso, TX 79902
Phone (915) 218-6040

5959 Gateway Blvd W
Ste 120
El Paso, TX 79925

Organizations & group practices 2

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1740424142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 EL PASEO ST",
            "address_2": "# 3007",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543241",
            "telephone_number": "713-383-6899",
            "fax_number": "713-500-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST",
            "address_2": "M227",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-441-3490",
            "fax_number": "713-793-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO-RAFIQ",
        "first_name": "ELSA",
        "middle_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELSA",
            "last_name": "SOTELO",
            "middle_name": "PATRICIA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.