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JORGE F SOTOLONGO M.D. NPI 1629189139


NPI Information

NPI: 1629189139
Provider Name: JORGE F SOTOLONGO, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
201 RIDGE ST
#307
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 329-5700
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Jorge F Sotolongo, M.D. is an obstetrics gynecology in Council Bluffs, IA with 39 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Jorge F Sotolongo, M.D. NPI is 1629189139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

201 RIDGE ST
#307
COUNCIL BLUFFS, IA
ZIP 51503-643
Phone: (712) 329-5700
Fax: (712) 329-5759

The NPI 1629189139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound pelvis through vagina (HCPCS:76830)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology18305NEBRASKANo
2207V00000XObstetrics & Gynecology27364IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142150546520MEDICAIDNEBRASKA
242150546516MEDICAIDNEBRASKA
397475OTHERWELLMARK-S. 24TH
406287OTHERWELLMARK-ATLANTIC
58171538MEDICAIDIOWA
642150546518MEDICAIDNEBRASKA
73060582MEDICAIDIOWA
810025407200MEDICAIDNEBRASKA
997474OTHERWELLMARK-LAKESIDE
1022905OTHERWELLMARK-201 RIDGE
1120108OTHERBCBSN
1242150546517MEDICAIDNEBRASKA
13E29300MEDICARE UPIN
1497476OTHERWELLMARK-CENTER
15I0372MEDICARE ID-TYPE UNSPECIFIEDIOWA
16273191MEDICARE ID-TYPE UNSPECIFIEDNEBRASKA
177171538MEDICAIDIOWA
185171538MEDICAIDIOWA
194171538MEDICAIDIOWA
203171538MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.