Active NPI
Rose Marie Sotolongo, D.P.M.
- Podiatrist
- Ridgeland, MS
National Provider Identifier
1790779858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 80114
- 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
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00113033 | Medicaid | MS | |
| 480016317 | Other | RETIRED RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
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
- Centerwell Home Health
- Enhabit Home Health
- Mississippi Homecare of Jackson
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Mississippi Baptist Medical Center
- St Dominic-Jackson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 130 |
| Removal of skin lesions | 27 |
| Removal of nail tissue | 145 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0576 | AZ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sotolongo Clinic, PA | Podiatrist | Current | Accepting new patients |
Interoperability endpoints
- 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 and National Provider Directory roles.
-
- Podiatrist
- Ridgeland, MS
- NPI 1679826945
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vicksburg, MS
- NPI 1649285016
-
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
-
- Home Health Agency
- Clinton, MS
- NPI 1356482749
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00113033",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETIRED RAILROAD MEDICARE",
"identifier": "480016317",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.