Individual provider Active NPI

Antonio Soegaard, MD

  • Obstetrics & Gynecology Physician
  • Port Saint Lucie, FL
National Provider Identifier
1871544247
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME130420 Issued in FL
Practice address
1405 SE Goldtree Dr Ste D
Port Saint Lucie, FL 34952-7563
Phone
(772) 800-7001
Fax
(772) 877-3539
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME130420 FL Primary

Addresses

Primary practice location

1405 SE Goldtree Dr Ste D
Port Saint Lucie, FL 34952-7563

Mailing address

1405 SE Goldtree Dr Ste D
Port Saint Lucie, FL 34952-7563
Phone (772) 800-7001

Other names 1

  • Antonio Soegaard-Torres Other 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
I20170505000035 FL Practitioner - Obstetrics/Gynecology 9537066303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 S Kanner Hwy
Suite 200
Stuart, FL 34994-4801
Phone (772) 288-5862

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME130420FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

3801 S Kanner Hwy
Ste 200
Stuart, FL 34994
Phone (772) 223-4978

3801 S Kanner Hwy
Fl 2
Stuart, FL 34994
Phone (772) 223-4999

509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: asoegaardtorres2499283@direct.ccf.org

Organizations & group practices 5

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 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1871544247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SE GOLDTREE DR STE D",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527563",
            "telephone_number": "772-800-7001",
            "fax_number": "772-877-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SE GOLDTREE DR STE D",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527563",
            "telephone_number": "772-800-7001",
            "fax_number": "772-877-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOEGAARD",
        "first_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME130420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIO",
            "last_name": "SOEGAARD-TORRES",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.