Individual provider Active NPI

Jonathan Soto, MD

  • Family Medicine Physician
  • Colleyville, TX
National Provider Identifier
1831509082
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2484 Issued in TX
Practice address
5232 Colleyville Blvd Ste 100
Colleyville, TX 76034-7827
Phone
(817) 912-9920
Fax
(817) 498-0635
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10050706 TX
Family Medicine Physician 207Q00000X R2484 TX Primary

Addresses

Primary practice location

5232 Colleyville Blvd Ste 100
Colleyville, TX 76034-7827

Mailing address

5232 Colleyville Blvd Ste 100
Colleyville, TX 76034-7827
Phone (817) 912-9920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsoto299496@direct.sw.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102002059 TX Practitioner - Family Practice 4183982796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

5232 Colleyville Blvd
Suite 100
Colleyville, TX 76034-7827
Phone (817) 912-9920

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10050706TXMDFamily Medicine Physician
R2484TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Healthtexas Provider Network CurrentSince Dec 11, 2017 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Dec 11, 2017 Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

5232 Colleyville Blvd
Ste 100
Colleyville, TX 76034
Phone (817) 909-0925

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

Interoperability endpoints

  • Direct secure messaging: jsoto299496@direct.sw.org

Organizations & group practices 4

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 2

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1831509082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 COLLEYVILLE BLVD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347827",
            "telephone_number": "817-912-9920",
            "fax_number": "817-498-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 COLLEYVILLE BLVD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347827",
            "telephone_number": "817-912-9920",
            "fax_number": "817-498-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10050706",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R2484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsoto299496@direct.sw.org",
            "affiliation": "N",
            "address_1": "5232 Colleyville Blvd Ste 100",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760347827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.