Individual provider Active NPI

Alejandra Sarahi Soto

  • Physician Assistant
  • Greenfield, WI
National Provider Identifier
1972334423
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8176-23 Issued in WI
Practice address
4931 S 27TH St
Greenfield, WI 53221-2652
Phone
(210) 815-0901
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8176-23 WI Primary

Addresses

Primary practice location

4931 S 27TH St
Greenfield, WI 53221-2652

Mailing address

4931 S 27TH St Ste 200
Greenfield, WI 53221-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250310003011 WI Practitioner - Physician Assistant 3274054994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

4931 S 27TH St
Greenfield, WI 53221-2653

5434 W Capitol Dr
Suite 3
Milwaukee, WI 53216-2298
Phone (414) 875-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8176-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians of Wisconsin, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

4931 S 27th St
Ste 200
Milwaukee, WI 53221
Phone (262) 763-9007

4931 S 27th St
Milwaukee, WI 53221
Phone (414) 249-3250

Interoperability endpoints

  • Direct secure messaging: alejandra.soto.1@18758.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1972334423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST STE 200",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212652",
            "telephone_number": "210-815-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ALEJANDRA",
        "middle_name": "SARAHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8176-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.