Active NPI
Katheryn Ann Soto, PA-C
- Physician Assistant
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-006627
- Practice address
- 19441 Golf Vista PLZ Ste 230
Leesburg, VA 20176-8271 - Phone
- (703) 729-3420
- Fax
- (703) 729-3422
- NPI assigned
- Apr 19, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0008819 | MD | |
| Physician Assistant | 363A00000X | PA200001600 | DC | |
| Physician Assistant | 363A00000X | 0110-006627 | VA | Primary |
Addresses
Primary practice location
19441 Golf Vista PLZ Ste 230
Leesburg, VA 20176-8271
Mailing address
PO Box 3250
Winchester, VA 22604-2450
Phone (703) 673-4490
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982267415 | Medicaid | VA | |
| 0110-006627 | Other | VA | STATE LICENSE |
| 30016147540001 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4080 Lafayette Ctr Dr
Suite 170C
Chantilly, VA 20151-1248
Phone (703) 729-3420
6000 Executive Blvd
Suite 604
North Bethesda, MD 20852-3830
Phone (703) 729-3420
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA200001600 | DC | MD | Physician Assistant |
| C0008819 | MD | MD | Physician Assistant |
| 0110-006627 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Sleep Care Center, Inc. | Current | Accepting new patients | |
| Comprehensive Sleep Care Center Inc | Current | Accepting new patients | |
| Comprehensive Sleep Care Center Inc | Current | Accepting new patients |
Locations
621 Ridgely Ave
Ste 402
Annapolis, MD 21401
12850 Middlebrook Rd
Ste 250
Germantown, MD 20874
Phone (240) 361-2056
6000 Executive Blvd
Ste 604
Rockville, MD 20852
5901 Kingstowne Village Pkwy
Ste 101
Alexandria, VA 22315
Phone (703) 778-3774
200 N Glebe Rd
Ste 316
Arlington, VA 22203
4080 Lafayette Center Dr
Ste 170C
Chantilly, VA 20151
3687 Fettler Park Dr
Dumfries, VA 22025
Phone (540) 666-6181
3687 Fettler Park Dr
Slp Care
Dumfries, VA 22025
605 Emancipation Hwy
Ste 2B
Fredericksburg, VA 22401
605 Emancipation Hwy
Slp Care
Fredericksburg, VA 22401
19441 Golf Vista Plz
Ste 230
Leesburg, VA 20176
Phone (703) 724-7474
19441 Golf Vista Plz
Ste 310
Leesburg, VA 20176
9420 Forestwood Ln
Ste 202
Manassas, VA 20110
4897 Prince William Pkwy
Ste 102
Woodbridge, VA 22192
Interoperability endpoints
- katheryn.soto@lmgcscc.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Sleep Medicine (Internal Medicine) Physician
- North Bethesda, MD
- NPI 1780471631
DC
-
- Sleep Medicine (Internal Medicine) Physician
- Lansdowne, VA
- NPI 1811149784
-
- Sleep Medicine (Internal Medicine) Physician
- Germantown, MD
- NPI 1144017005
-
- Sleep Medicine (Internal Medicine) Physician
- Annapolis, MD
- NPI 1851279541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1982267415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3250",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226042450",
"telephone_number": "703-673-4490",
"fax_number": "540-678-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19441 GOLF VISTA PLZ STE 230",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768271",
"telephone_number": "703-729-3420",
"fax_number": "703-729-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "KATHERYN",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0008819",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA200001600",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-006627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982267415",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0110-006627",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30016147540001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.