Michael Sotiriou, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

11744110-1205 Issued in UT

Practice address

250 E 300 S Ste 120
Salt Lake City, UT 84111-2544

Phone

(801) 521-5630

Fax

(801) 596-9780

NPI assigned

Jun 3, 2014

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Dermatology

Education

University of Utah School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00256

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.

• Salt Lake Dermatology and Aesthetics PC

  • Dermatology Physician
  • Salt Lake City, UT
  • NPI 1669059713

  Single Specialty

  Medicare reassignment NPD Authorized official
• Leo Sotiriou, MD, LLC

  • Procedural Dermatology Physician
  • Salt Lake City, UT
  • NPI 1154536647

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1780097105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EAST 300 SOUTH, SUITE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112544",
            "telephone_number": "801-521-5630",
            "fax_number": "801-596-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 300 S STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112544",
            "telephone_number": "801-521-5630",
            "fax_number": "801-596-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1765 N Elston Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60642",
            "country_code": "US",
            "telephone_number": "773-276-1100",
            "fax_number": "773-276-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTIRIOU",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.145756",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "11744110-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lupe Sosa
• Michael J Sossenheimer, M.D.
• Aldito Sotelo
• Christopher Gus Sotiriou, PHARM.D., MBA
• Leo Sotiriou, MD
• Martha Lilia Soto Ceballos, LCSW, ASUDC
• Ailin G Soto
• Danielle Shea Soto, PA
• Julya Marie Anderson Soto
• Valencia Soto

• Dermatology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.