NPIMap

Individual provider Active NPI

Rose Marie Sotolongo, D.P.M.

  • Podiatrist
  • Ridgeland, MS
National Provider Identifier
1790779858
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
80114 Issued in MS
Practice address
731 S Pear Orchard Rd
Suite 7
Ridgeland, MS 39157-4800
Phone
(601) 206-9101
Fax
(601) 206-9102
NPI assigned
Sep 6, 2005
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 80114 MS
Podiatrist 213E00000X 80114 MS Primary

Addresses

Primary practice location

731 S Pear Orchard Rd
Suite 7
Ridgeland, MS 39157-4800

Mailing address

731 S Pear Orchard Rd
Suite 7
Ridgeland, MS 39157
Phone (601) 206-9101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000968 MS Practitioner - Podiatry 5890781249 Reassigns benefits to 1 organization
Practice locations: Ridgeland, MS

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

731 S Pear Orchard Rd
Suite 7
Ridgeland, MS 39157-4839
Phone (601) 206-9101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue130
Removal of skin lesions27
Removal of nail tissue145
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80114MSMDPodiatrist
0576AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Sotolongo Clinic, PA Podiatrist CurrentSince Jun 19, 1994 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1790779858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S PEAR ORCHARD RD",
            "address_2": "SUITE 7",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-206-9101",
            "fax_number": "601-206-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S PEAR ORCHARD RD",
            "address_2": "SUITE 7",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574800",
            "telephone_number": "601-206-9101",
            "fax_number": "601-206-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOLONGO",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MS",
            "license": "80114",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.