Active NPI
Demizel Soto
- Nurse Practitioner
- McAllen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP144754
- Practice address
- 110 E Savannah Ave Ste 203
McAllen, TX 78503-1241 - Phone
- (956) 686-7611
- NPI assigned
- Jan 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP144754 | TX | Primary |
Addresses
Primary practice location
110 E Savannah Ave Ste 203
McAllen, TX 78503-1241
Mailing address
PO Box 420
Grulla, TX 78548-0420
Phone (956) 257-5757
Other practice location 1
1603 Babcock Rd Ste 234
San Antonio, TX 78229-4741
Phone (956) 257-5757
Other practice location 2
2925 West Ave
San Antonio, TX 78201-2243
Phone (956) 257-5757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407940201 | Medicaid | TX |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | demizel.soto@canohealth.com | ||
| CONNECT URL | demizelsoto@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Legacy Ranch Rd
Waxahachie, TX 75165-1293
Phone (877) 868-2528
Hospital & facility affiliations
- Christus Vna Homecare San Antonio
- Vitalcaring Group
- Accentcare Home Health of Texas
- Theracare Home Health
- Amedisys Home Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP144754 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humberto Nunez MD PA | Current | Accepting new patients | |
| MD Hospitalists PLLC | Current | Accepting new patients | |
| Total Care 2 U, LLC | Current | Accepting new patients |
Locations
4714 FM 1488 Rd
Ste 132
Conroe, TX 77384
Phone (877) 868-2528
110 E Savannah Ave
Bldg B
McAllen, TX 78503
Phone (956) 686-7611
110 E Savannah Ave
Ste 203
McAllen, TX 78503
Phone (956) 212-5255
1000 Legacy Ranch Rd
Waxahachie, TX 75165
Phone (877) 868-2527
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Waxahachie, TX
- NPI 1508320755
-
- Hospitalist Physician
- McAllen, TX
- NPI 1235672809
-
- Family Medicine Physician
- McAllen, TX
- NPI 1245667138
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Antonio, TX
- NPI 1457886483
-
- Home Health Agency
- San Antonio, TX
- NPI 1356782536
-
- Home Health Agency
- San Antonio, TX
- NPI 1962926642
-
- Home Health Agency
- Temple, TX
- NPI 1538458633
-
- Home Health Agency
- San Antonio, TX
- NPI 1396968491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1811527161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 420",
"city": "GRULLA",
"state": "TX",
"postal_code": "785480420",
"telephone_number": "956-257-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E SAVANNAH AVE STE 203",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031241",
"telephone_number": "956-686-7611"
}
],
"practiceLocations": [
{
"address_1": "1603 Babcock Rd Ste 234",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294741",
"country_code": "US",
"telephone_number": "956-257-5757",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2925 West Ave",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782012243",
"country_code": "US",
"telephone_number": "956-257-5757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTO",
"first_name": "DEMIZEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP144754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407940201",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "demizel.soto@canohealth.com",
"affiliation": "N",
"address_1": "2925 West Ave",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782012243",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "demizelsoto@gmail.com",
"affiliation": "N",
"address_1": "1603 Babcock Rd Ste 234",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782294741",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.