NPI Details
Matthew Soberano, D.O. is an allergy immunology in Villa Rica, GA with 9 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Matthew Soberano, D.O. NPI is 1386183218. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2017
The provider's business location address is:
690 DALLAS HWY STE 101
VILLA RICA, GA
ZIP 30180-262
Phone: (770) 459-0620
The NPI 1386183218 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.
- Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
- Professional service for multiple injections of allergen (HCPCS:95117)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Test to measure expiratory airflow and volume (HCPCS:94010)
The enumeration date for this NPI number is 2/12/2017 and was last updated on 11/2/2023.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 2 | 207R00000X | Internal Medicine | | 91572 | GEORGIA | No |
| 3 | 207K00000X | Allergy & Immunology | | 91572 | GEORGIA | Yes |
