Edgardo Soto de la Rosa, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

115041 Issued in FL

Practice address

4235 Kings Hwy
Suite 103
Port Charlotte, FL 33980-8421

Phone

(941) 613-1777

Fax

(941) 613-1779

NPI assigned

Apr 27, 2009

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonary Sleep and Critical Care Specialists PL 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
• Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175
• HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267
• Port Charlotte Rehabilitation Center Nursing home, Port Charlotte, FL, CCN 105524

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

92.59

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edgardo.soto.de.la.rosa.2@2765.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2765/brand/2/csg/21/fhir/r4

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.

• Pulmonary Sleep and Critical Care Specialists PL

  • Pulmonary Disease Physician
  • Port Charlotte, FL
  • NPI 1215367115

  Critical Care Medicine, FL

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Port Charlotte Inc

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1760299093

  Hospital

  Care Compare affiliation
• Deep Creek RNC, LLC

  • Skilled Nursing Facility
  • Port Charlotte, FL
  • NPI 1679560262

  Nursing home

  Care Compare affiliation
• Desoto County Hospital District

  • Rural Acute Care Hospital
  • Arcadia, FL
  • NPI 1528387842

  Hospital

  Care Compare affiliation
• Englewood Community Hospital, Inc.

  • General Acute Care Hospital
  • Englewood, FL
  • NPI 1639122864

  Hospital

  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406

  Hospital

  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1801030408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 KINGS HWY",
            "address_2": "SUITE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 KINGS HWY",
            "address_2": "SUITE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808421",
            "telephone_number": "941-613-1777",
            "fax_number": "941-613-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO DE LA ROSA",
        "first_name": "EDGARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "115041",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "115041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009369200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "14Q6Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonder Connect LLC
• Sonopro LLC
• Agnes Coleen Ramos Sopoco, PT
• Celeste Sorrentino
• Gabriel A Sosa
• Soul Care Solution LLC
• Soul Dental PLLC
• John Harvey Sours, D.C.
• South Florida Diagnostic Associates
• Southwest Florida Regional Imaging II LLC

• All providers in Port Charlotte, FL
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.