Keith C. Soderberg, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

29941 Issued in AZ

Practice address

2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2801

Phone

(520) 296-8500

Fax

(520) 733-2389

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Otolaryngology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurological Associates of TucsonGroup PAC ID 5092709527, 60 clinicians

Tucson E.N.T. Associates, P.C.Group PAC ID 9931093853, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
• St Joseph's Hospital Hospital, Tucson, AZ, CCN 030011

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Neurological Associates of Tucson

  dba Center for Neurosciences

  • Neurological Surgery Physician
  • Tucson, AZ
  • NPI 1669588158
  Medicare reassignment Care Compare group NPD
• Tucson E.N.T. Associates, P.C.

  • Otolaryngology Physician
  • Safford, AZ
  • NPI 1265616312
  Medicare reassignment Care Compare group NPD
• Tucson E.N.T. Associates, P.C.

  • Otolaryngology Physician
  • Tucson, AZ
  • NPI 1669420360
  NPD (past)
• Tucson E.N.T. Associates, P.C.

  • Otolaryngology Physician
  • Tucson, AZ
  • NPI 1821046525
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1770531527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N CRAYCROFT RD BLDG 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122801",
            "telephone_number": "520-296-8500",
            "fax_number": "520-733-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N CRAYCROFT RD BLDG 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122801",
            "telephone_number": "520-296-8500",
            "fax_number": "520-733-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODERBERG",
        "first_name": "KEITH",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "29941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "637887",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sobin, DAOM, L.AC.
• Olivia Katherine Sobojinski, PA-C
• Richard E Sobonya, MD
• Amanda Sobus
• Marta Maria Socarras, RPH
• Nandini Sodhi, MD
• Soflisa Az LLC (Wellness Dental)
• Khrista D Sohn, PT
• Sabrina Soin, DO
• Rhoda Sokal

• Otolaryngology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Otolaryngology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.