DR. SOO URBAN D.O.
NPI 1043663453
Pediatrics in Fort Worth, TX

Q: What is Soo Urban's NPI number?

The NPI number for Soo Urban is 1043663453. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Q: What is Soo Urban's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Soo Urban was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 20, 2016PECOS Enrolled

2755 MILLER AVE, FORT WORTH, TX 76105(817) 534-7110(817) 413-0521 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2021, Nov 12, 2019, Nov 6, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Soo Urban D.o. NPPES

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

DR. SOO URBAN D.O. (NPI 1043663453) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (S1162) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043663453

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SOO URBANCredential: D.O.

Location Address2755 MILLER AVEFort Worth, TX 76105-4164

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396

Phone(817) 534-7110

Fax(817) 413-0521

Sole ProprietorNo

Enumeration DateJuly 20, 2016

Last NPPES UpdateMay 25, 20214 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1043663453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · S1162

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2755 MILLER AVE, Fort Worth, TX 76105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Soo Urban D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76105 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

Other Providers at the Same Location NPPES 8

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

VALERIE ELISE WARD RN, CPNP-PC

Nurse Practitioner (Primary Care)