RODOLFO P SOTOLONGO MD
NPI 1255376679
Internal Medicine - Cardiovascular Disease in Beaumont, TX

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
85.72/100
CMS Quality Rating
2693 NORTH ST, BEAUMONT, TX 77702(409) 832-8862(409) 832-1664 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rodolfo P Sotolongo Md NPPES

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

RODOLFO P SOTOLONGO MD (NPI 1255376679) is an individual cardiovascular disease provider in Beaumont, Texas, licensed in Texas (G4209) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Beaumont Hospital, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1255376679
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRODOLFO P SOTOLONGOCredential: MD
Location Address2693 NORTH STBeaumont, TX 77702-1624
Mailing AddressP.o. Box 7410Beaumont, TX 77726-7410 · (409) 835-5508 · Fax (409) 835-3835
Fax(409) 832-1664
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateJune 19, 2006
Last NPPES UpdateMay 29, 2014
NPI 1255376679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · G4209
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.
2693 NORTH ST, Beaumont, TX 77702

Other Identifiers 7

Medicare UPINB26581
Medicare ID-Type Unspecified892690TX
Medicaid138475202TX
Medicare ID-Type Unspecified892701TX
Medicare PIN89Z701TX
Medicare PIN89Z690TX
Medicaid138475203TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rodolfo P 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 ID3173620176
PECOS Enrollment IDI20101222000068
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.

Areas of Expertise CMS Part B claims 37

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.

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.
6,083 services445 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.
3,913 services460 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.
3,071 services411 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,951 services23 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
1,648 services105 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.
1,448 services649 patients

Hospital Affiliations CMS Care Compare

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

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77702 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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.

85.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.27
Promoting Interoperability80
Improvement Activities40
Cost83.55

Reported Quality Measures

Advance Care Plan
87%1,827 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
4%116 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
66%2,631 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
82%136 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%804 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%7,116 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%3,035 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%1,337 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 2,804 patients
1%2,804 patients
Provide Patients Electronic Access to Their Health Information
51%1,439 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%1,840 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,447 patients
Patients totalRate: 0% · 2,451 patients
0%2,451 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Physician Assistant (Medical)
2693 NORTH ST
BEAUMONT, TX 77702
Internal Medicine (Cardiovascular Disease)
2693 NORTH ST
BEAUMONT, TX 77702
Internal Medicine (Cardiovascular Disease)
2693 NORTH ST
BEAUMONT, TX 77702
Physician Assistant
2693 NORTH ST
BEAUMONT, TX 77702
Nurse Practitioner (Family)
2693 NORTH ST
BEAUMONT, TX 77702
Nurse Practitioner (Family)
2693 NORTH ST
BEAUMONT, TX 77702
Nurse Practitioner (Family)
2693 NORTH ST
BEAUMONT, TX 77702

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 Rodolfo Sotolongo's NPI number?

The NPI number for Rodolfo Sotolongo is 1255376679. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Rodolfo Sotolongo located?

Rodolfo Sotolongo practices at 2693 North St, Beaumont, TX 77702. The listed phone number is (409) 832-8862.

What is Rodolfo Sotolongo's specialty?

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

Is Rodolfo Sotolongo enrolled in Medicare?

Yes. Rodolfo 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.

What insurance does Rodolfo Sotolongo accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, Molina Healthcare and UnitedHealthcare list Rodolfo 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 Rodolfo Sotolongo affiliated with any hospitals?

According to CMS data, Rodolfo Sotolongo is affiliated with Baptist Beaumont Hospital.

When was this NPI record last updated?

The NPPES record for Rodolfo Sotolongo was last updated on May 29, 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.