Maryelaine Sotos, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

BP10066943 Issued in TX

Practice address

3410 Far West Blvd Ste 100
Austin, TX 78731-3187

Phone

(512) 717-9775

NPI assigned

May 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maryelaine.sotos@49420620398596.direct.elationemr.com
• Direct secure messaging: maryelaine.sotos.1@32795.direct.athenahealth.com

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.

• Sharon Hausman-Cohen, MD, PA

  • Primary Care Clinic/Center
  • Austin, TX
  • NPI 1730325846

  Family Medicine

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1891350187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313187",
            "telephone_number": "512-717-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313187",
            "telephone_number": "512-717-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOS",
        "first_name": "MARYELAINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10066943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soteria Life Therapy PLLC
• Katherine Soto
• Synida Soto
• Gelsy Ruth Sotolongo Gonzalez
• Angela Edda Sotolongo-Grewal, M.S. CCC-SLP
• Kalin Sou, DPT
• Mahmoud N Soubra, M.D.
• Chris Khaled Soudah, MD
• Jean Souffrant
• Soul Kind Counseling PLLC

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.