Individual provider Active NPI

Demizel Soto

  • Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1811527161
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP144754 Issued in TX
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

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
407940201MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200304000877 TX Practitioner - Nurse Practitioner 9436586401 Reassigns benefits to 2 organizations

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
Total Care 2 U, LLCGroup PAC ID 7012344807, 29 clinicians

Practice addresses (Care Compare)

1000 Legacy Ranch Rd
Waxahachie, TX 75165-1293
Phone (877) 868-2528

Hospital & facility affiliations

  • Christus Vna Homecare San Antonio Home health agency, San Antonio, TX, CCN 457777
  • Vitalcaring Group Home health agency, Temple, TX, CCN 457159
  • Accentcare Home Health of Texas Home health agency, San Antonio, TX, CCN 679174
  • Theracare Home Health Home health agency, San Antonio, TX, CCN 677248
  • Amedisys Home Health Home health agency, San Antonio, TX, CCN 679002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP144754TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Humberto Nunez MD PA CurrentSince Feb 18, 2020 Accepting new patients
MD Hospitalists PLLC CurrentSince Feb 18, 2020 Accepting new patients
Total Care 2 U, LLC CurrentSince Feb 1, 2023 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.