NPIMap

Individual provider Active NPI

Andrew P Soisson, MD

  • Gynecologic Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1790794568
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
5295480-1205 Issued in UT
Practice address
University of Utah/Department OBGYN
30N, 1900E, Suite 2B200
Salt Lake City, UT 84132-0001
Phone
(801) 585-0067
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 52954801205 UT
Gynecologic Oncology Physician 207VX0201X 5295480-1205 UT Primary

Addresses

Primary practice location

University of Utah/Department OBGYN
30N, 1900E, Suite 2B200
Salt Lake City, UT 84132-0001

Mailing address

University of Utah/Department OBGYN
30N, 1900E, Suite 2B200
Salt Lake City, UT 84132-0001
Phone (801) 585-0067

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asoisson44594@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20031208000146 UT Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 0840195335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Utah Specialty ServicesGroup PAC ID 2961726831, 94 clinicians

Practice addresses (Care Compare)

50 N Medical Dr
U of U Department of OB/GYN Gynecol
Salt Lake City, UT 84132-0100
Phone (801) 587-6336

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
93.24
Promoting interoperability
100
Improvement activities
40
Cost
45.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52954801205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Specialty Services CurrentSince Feb 1, 2015 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Aug 1, 2004 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 6, 2011 Accepting new patients
University of Utah Specialty Services Obstetrics & Gynecology CurrentSince Feb 1, 2015 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 1, 2004 Accepting new patients
University of Utah Specialty Services Current Accepting new patients
Wheeling Hospital Inc Obstetrics & Gynecology Past Accepting new patients
University of Utah OB Diagnostic Center PastSince Jun 8, 2013 Accepting new patients
University of Utah Specialty Services Past Accepting new patients

Locations

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

50 N Medical Dr
#U
Salt Lake Cty, UT 84132
Phone (801) 581-4314

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

2000 Circle of Hope Dr
Slc, UT 84112
Phone (801) 581-7840

370 Ninth Ave
Ste 101
Slc, UT 84103
Phone (801) 408-2999

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 11

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1790794568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF UTAH/DEPARTMENT OBGYN",
            "address_2": "30N, 1900E, SUITE 2B200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-585-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF UTAH/DEPARTMENT OBGYN",
            "address_2": "30N, 1900E, SUITE 2B200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-585-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOISSON",
        "first_name": "ANDREW",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "52954801205",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "UT",
            "license": "5295480-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asoisson44594@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.