Individual provider Active NPI

Andy Somesan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Pensacola, FL
National Provider Identifier
1801871835
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME0079362 Issued in FL
Practice address
1000 W Moreno St
Pensacola, FL 32501
Phone
(850) 469-7406
Fax
(850) 437-8283
NPI assigned
Dec 13, 2005
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 18847 AL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME0079362 FL Primary
Hospitalist Physician 208M00000X ME79362 FL

Addresses

Primary practice location

1000 W Moreno St
Pensacola, FL 32501

Mailing address

PO Box 17567
Pensacola, FL 32522-7567
Phone (850) 469-7406

Other practice location 1

5149 N 9th Ave
Ste 254
Pensacola, FL 32504-6050
Phone (850) 416-7619

Other identifiers 1

IdentifierTypeStateIssuer
258344500MedicaidFL

Other names 1

  • Andy K Somesan Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050531000028 FL Practitioner - Internal Medicine 5496659674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 469-2313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18847ALMDPharmacist
ME0079362FLMDGeriatric Medicine (Internal Medicine) Physician
ME79362FLMDHospitalist Physician
000126-1NYMDGeneral Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Associates LLC Hospitalist CurrentSince Jun 1, 2018 Accepting new patients
Pensacola Hospitalist Physicians, LLC Hospitalist Current Accepting new patients
Pensacola Hospitalist Physicians, LLC Hospitalist CurrentSince Jan 1, 2021 Accepting new patients
Floridian Hospitalist Services, LLC Hospitalist Current Accepting new patients
West Florida Regional Medical Center Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Gilliard Health Services Geriatric Medicine Past Accepting new patients
West Florida Regional Medical Center Inc Past Accepting new patients
4MD2 in Patient Physician Services of Fort Walton Beach LLC Hospitalist Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

Interoperability endpoints

  • Direct secure messaging: andy.somesan@hca5.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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 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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1801871835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17567",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325227567",
            "telephone_number": "850-469-7406",
            "fax_number": "850-437-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-469-7406",
            "fax_number": "850-437-8283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5149 N 9th Ave",
            "address_2": "Ste 254",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325046050",
            "country_code": "US",
            "telephone_number": "850-416-7619",
            "fax_number": "850-416-7753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMESAN",
        "first_name": "ANDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AL",
            "license": "18847",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0079362",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME79362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258344500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "SOMESAN",
            "middle_name": "K",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.