Individual provider Active NPI

Christian Sotelo

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1780240101
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T5673 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-1100
NPI assigned
May 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10068783 TX
Family Medicine Physician 207Q00000X T5673 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

11937 US Hwy 271
Attn: Kate Wells
Tyler, TX 75708
Phone (903) 877-7000

Other practice location 1

11937 US Hwy 271
Attn: Kate Wells
Tyler, TX 75708
Phone (903) 877-7000 ext. 5710

Other practice location 2

1050 W Arkansas Ln Ste 150
Arlington, TX 76013-6308
Phone (817) 702-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kate.wells@uthct.edu Direct

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
I20220726002273 TX Practitioner - Family Practice 7911232434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

6500 Sierra Dr
Suite 150
Irving, TX 75039-2480
Phone (972) 443-4300

Hospital & facility affiliations

  • Medical City Las Colinas Hospital, Irving, TX, CCN 450822
  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T5673TXMDFamily Medicine Physician
BP10068783TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Sep 1, 2024 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince Jul 14, 2022 Accepting new patients

Locations

1050 W Arkansas Ln
Ste 150
Arlington, TX 76013
Phone (817) 702-3567

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

6500 Sierra Dr
#150
Irving, TX 75039
Phone (972) 443-4300

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: csotelo60130@direct.jpshealth.org
  • Direct secure messaging: csotelo1288246@direct.texashealth.org

Organizations & group practices 4

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 3

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1780240101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11937 US HWY 271",
            "address_2": "ATTN: KATE WELLS",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75708",
            "telephone_number": "903-877-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11937 US Hwy 271",
            "address_2": "Attn: Kate Wells",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "75708",
            "country_code": "US",
            "telephone_number": "903-877-7000 x5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Arkansas Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760136308",
            "country_code": "US",
            "telephone_number": "817-702-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10068783",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T5673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kate.wells@uthct.edu",
            "affiliation": "N",
            "endpointDescription": "Institutional Coordinator",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Coordinator",
            "address_1": "11937 US Hwy 271",
            "address_2": "Attn: Kate Wells",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.