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ROBERTO SOTOLONGO MD
NPI 1013166156
Internal Medicine in Miami, FL

Active since September 12, 2008PECOS EnrolledAccepts Medicare Assignment
11760 SW 156TH CT, MIAMI, FL 33196(787) 421-3758 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roberto Sotolongo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERTO SOTOLONGO MD (NPI 1013166156) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME102263) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Gulf Coast Medical Center Lee Health, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1013166156
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERTO SOTOLONGOCredential: MD
Location Address11760 SW 156TH CTMiami, FL 33196-6896
Mailing Address11760 Sw 156th CtMiami, FL 33196-6896 · (787) 421-3758
Phone(787) 421-3758
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 12, 2008
Last NPPES UpdateJuly 18, 2014
✔ NPI 1013166156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME102263
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11760 SW 156TH CT, Miami, FL 33196
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roberto Sotolongo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375609613
PECOS Enrollment IDI20090311000429
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Roberto Sotolongo reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roberto Sotolongo MD PA
Same address
Internal Medicine
11760 SW 156TH CT
Miami, FL 33196
  • Reassigned Medicare billing, Florida enrollment
NPI 1689998247 (787) 421-3758
Qmc LLC
14 mi
Hospitalist
5201 BLUE LAGOON DR FL 89
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
NPI 1003216391 (305) 554-1700
Lee Memorial Health System
107 mi
Federally Qualified Health Center (FQHC)
8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1720715295 (239) 343-9567
Lee Health System Inc
108 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Inpatient Consultants Of Florida Inc
207 mi
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1457511164 (813) 936-5000
First Docs PC
1,192 mi
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 clinicians in this Medicare group
NPI 1417655465 (702) 762-2485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
251 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
118 services117 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services39 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33196 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
5 suppliers27 claims29 services$42.78 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers44 claims47 services$16.68 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers15 claims15 services$5.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTO SOTOLONGO MD PA
Internal Medicine
11760 SW 156TH CT
MIAMI, FL 33196
Miami-Dade County (787) 421-3758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberto Sotolongo's NPI number?

The NPI number for Roberto Sotolongo is 1013166156. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Roberto Sotolongo located?

Roberto Sotolongo practices at 11760 SW 156th Ct, Miami, FL 33196. The listed phone number is (787) 421-3758.

What is Roberto Sotolongo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roberto Sotolongo enrolled in Medicare?

Yes. Roberto Sotolongo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roberto Sotolongo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Sotolongo reassigns Medicare benefits to 6 organizations: Roberto Sotolongo MD PA (Miami, FL), Qmc LLC (Miami, FL), Lee Memorial Health System (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL), Inpatient Consultants Of Florida Inc (Tampa, FL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roberto Sotolongo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Sotolongo accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Roberto Sotolongo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Roberto Sotolongo affiliated with any hospitals?

According to CMS data, Roberto Sotolongo is affiliated with Gulf Coast Medical Center Lee Health and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Roberto Sotolongo was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.