Individual provider Active NPI

Ramon P Sotto, MD

  • Physical Medicine & Rehabilitation Physician
  • Sartell, MN
National Provider Identifier
1972580454
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
41090 Issued in MN
Practice address
166 19TH St S
Suite 101
Sartell, MN 56377-4654
Phone
(320) 230-7788
Fax
(320) 230-7789
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 41090 MN Primary

Addresses

Primary practice location

166 19TH St S
Suite 101
Sartell, MN 56377-4654

Mailing address

166 19TH St S
Suite 101
Sartell, MN 56377-4654
Phone (320) 230-7788

Other identifiers 1

IdentifierTypeStateIssuer
1972580454MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100202000843 MN Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1456494293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Jul 1, 1998 Accepting new patients
Park Nicollet Clinic CurrentSince Jul 1, 1998 Accepting new patients

Locations

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

Organizations & group practices 2

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1972580454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 19TH ST S",
            "address_2": "SUITE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774654",
            "telephone_number": "320-230-7788",
            "fax_number": "320-230-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 19TH ST S",
            "address_2": "SUITE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774654",
            "telephone_number": "320-230-7788",
            "fax_number": "320-230-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTO",
        "first_name": "RAMON",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "41090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972580454",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.