Individual provider Active NPI

Demetra K Soter, MD

  • Pediatric Critical Care Medicine Physician
  • Chicago, IL
National Provider Identifier
1922218544
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
036064113 Issued in IL
Practice address
1901 W. Harrison
Stroger Hospital of Cook County
Chicago, IL 60612
Phone
(312) 864-4244
NPI assigned
May 23, 2007
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 036-064113 IL
Pediatric Critical Care Medicine Physician 2080P0203X 036064113 IL Primary

Addresses

Primary practice location

1901 W. Harrison
Stroger Hospital of Cook County
Chicago, IL 60612

Mailing address

2200 W Pratt Blvd
Chicago, IL 60645-4706
Phone (312) 333-1641

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000814 IL Practitioner - Pediatric Medicine 3577744291 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036064113ILMDPediatric Critical Care Medicine Physician
036-064113ILMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Oct 22, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Pediatric Critical Care Medicine CurrentSince Oct 22, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Cook County General Acute Care Hospital Current Accepting new patients
Cook County CurrentSince Mar 25, 2022 Accepting new patients
Cook County CurrentSince Mar 25, 2022 Accepting new patients

Locations

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1922218544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W PRATT BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454706",
            "telephone_number": "312-333-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W. HARRISON",
            "address_2": "STROGER HOSPITAL OF COOK COUNTY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-864-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTER",
        "first_name": "DEMETRA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "036-064113",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "IL",
            "license": "036064113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.