Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PABLO F SOTO MD
NPI 1225054463
Internal Medicine - Cardiovascular Disease in Schaumburg, IL

Q: What is Pablo Soto's NPI number?

The NPI number for Pablo Soto is 1225054463. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Pablo Soto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Pablo Soto was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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 14, 2006PECOS EnrolledAccepts Medicare Assignment

85.79/100

CMS Quality Rating

804 E WOODFIELD RD, STE 300, SCHAUMBURG, IL 60173(847) 605-9500(847) 605-8700 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 29, 2026, Jun 20, 2018, Mar 17, 2018 and 4 more (7 updates tracked since 2016).

On this page

About Dr. Pablo F Soto Md NPPES

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

DR. PABLO F SOTO MD (NPI 1225054463) is an individual cardiovascular disease provider in Schaumburg, Illinois, licensed in Illinois (036127400) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and maintains a secondary practice location in Oak Park.

NPPES Registry Identity

NPI1225054463

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. PABLO F SOTOCredential: MD

Location Address804 E WOODFIELD RD, STE 300Schaumburg, IL 60173-4776

Mailing Address808 E Woodfield Rd Ste 300Schaumburg, IL 60173-4836 · (847) 605-0030 · Fax (847) 637-0737

Phone(847) 605-9500

Fax(847) 605-8700

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1991

Enumeration DateJuly 14, 2006

Last NPPES UpdateSeptember 29, 20267 updates tracked since enumeration

✔ NPI 1225054463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IL · 036127400

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 036127400 (IL)

804 E WOODFIELD RD, Schaumburg, IL 60173

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Secondary Practice Location 1

Location 17035 North AveOak Park, IL 60302-1015 · Phone (708) 680-3800 · Fax (708) 383-3665

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.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

Dr. Pablo F Soto 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 ID7315900438

PECOS Enrollment IDI20110805000408

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

Medicare enrollment records show Pablo Soto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chicago Cardiology Institute S.C.

Same address

Cardiovascular Disease

804 WOODFIELD RD, SUITE 300
Schaumburg, IL 60173

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Chicago Cardiology Institute Sc
35 clinicians in this Medicare group

NPI 1568600286 (847) 605-9500

Elmhurst Memorial Hospital

14 mi

General Acute Care Hospital

155 E BRUSH HILL RD
Elmhurst, IL 60126

Reassigned Medicare billing, Illinois enrollment
205 clinicians in this Medicare group

NPI 1548306343 (331) 221-1000

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 24

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.

544 services213 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

438 services194 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

357 services175 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

258 services187 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.

247 services218 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

212 services38 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

188 services28 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

146 services138 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

124 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services48 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

58 services29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

47 services43 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

35 services35 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

32 services32 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

32 services16 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

23 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

22 services22 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

22 services22 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

21 services21 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

17 services15 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

16 services14 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

16 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140290

Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60173 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Cost

50.07

Other Providers at the Same Location NPPES 9

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

GLENN BAUTISTA APN

Nurse Practitioner (Family)

804 E WOODFIELD RD
SCHAUMBURG, IL 60173

Cook County (847) 605-0030

DR. SOLOMON J SAGER M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

804 E WOODFIELD RD, SUITE 300
SCHAUMBURG, IL 60173

Cook County (847) 605-9500

MUHAMMAD ADNAN BALOUCH

Internal Medicine (Interventional Cardiology)

804 E WOODFIELD RD
SCHAUMBURG, IL 60173

Cook County (847) 605-0030

JANKI PATEL

Nurse Practitioner (Family)

804 E WOODFIELD RD
SCHAUMBURG, IL 60173

Cook County (847) 423-4454

MRS. JIGNA D GANDHI MSN, NP -C

Nurse Practitioner

804 E WOODFIELD RD, SUITE 300
SCHAUMBURG, IL 60173

Cook County (847) 605-9500

AASITA NITIN PATEL MD

Internal Medicine (Cardiovascular Disease)

804 E WOODFIELD RD, SUITE 300
SCHAUMBURG, IL 60173

Cook County (847) 605-0030

JANA HOSTALEK RN , MSN

Nurse Practitioner (Adult Health)

804 E WOODFIELD RD, SUITE 300
SCHAUMBURG, IL 60173

Cook County (847) 605-0030

MS. MARY JEANINE GALLUCCI RN CCM

Registered Nurse (Case Management)

804 E WOODFIELD RD
SCHAUMBURG, IL 60173

Cook County (224) 517-6660

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 Pablo Soto's NPI number?

The NPI number for Pablo Soto is 1225054463. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Pablo Soto located?

Pablo Soto practices at 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173. The listed phone number is (847) 605-9500.

What is Pablo Soto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pablo Soto enrolled in Medicare?

Yes. Pablo Soto 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 Pablo Soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pablo Soto reassigns Medicare benefits to 2 organizations: Chicago Cardiology Institute S.C. (Schaumburg, IL) and Elmhurst Memorial Hospital (Elmhurst, IL). 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 Pablo Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pablo Soto accept?

Health plans from Ambetter Health and Oscar Health list Pablo Soto 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 Pablo Soto affiliated with any hospitals?

According to CMS data, Pablo Soto is affiliated with Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Pablo Soto was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.