Active NPI
Amanda Raquel Soto Perez
- Student in an Organized Health Care Education/Training Program
- Pittsburgh, PA
National Provider Identifier
1881374304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4401 Penn Avenue
Pittsburgh, PA 15224-1334 - Phone
- (412) 692-5540
- Fax
- (773) 834-0748
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Pediatrics Physician | 208000000X | 125.084715 | IL |
Addresses
Primary practice location
4401 Penn Avenue
Pittsburgh, PA 15224-1334
Mailing address
3600 Forbes Avenue
Forbes Tower - Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (773) 702-1150
Other practice location 1
5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Phone (215) 456-3221
Other practice location 2
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone (215) 427-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240717000634 | IL | Order and Referring Only - Pediatric Medicine | 0941745731 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- amanda.soto-perez.1@11074.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1881374304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE",
"address_2": "FORBES TOWER - PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 PENN AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241334",
"telephone_number": "412-692-5540",
"fax_number": "773-834-0748"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413098",
"country_code": "US",
"telephone_number": "215-456-3221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 E Erie Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191341011",
"country_code": "US",
"telephone_number": "215-427-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTO PEREZ",
"first_name": "AMANDA",
"middle_name": "RAQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.084715",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.