CARLOS A SOTOLONGO M.D.
NPI 1265581284
Family Medicine in Durham, NC

Q: What is Carlos Sotolongo's NPI number?

The NPI number for Carlos Sotolongo is 1265581284. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Carlos Sotolongo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Sotolongo was last updated on February 5, 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.

Active since January 09, 2007PECOS Enrolled

6020 FAYETTEVILLE RD, DURHAM, NC 27713(919) 572-2000 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Carlos A Sotolongo M.d. NPPES

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

CARLOS A SOTOLONGO M.D. (NPI 1265581284) is an individual family medicine provider in Durham, North Carolina, licensed in North Carolina (29963) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265581284

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCARLOS A SOTOLONGOCredential: M.D.

Location Address6020 FAYETTEVILLE RDDurham, NC 27713-9754

Mailing Address6020 Fayetteville Rd, Triangle Family PracticeDurham, NC 27713-9754 · (919) 572-2000 · Fax (919) 572-2010

Phone(919) 572-2000

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateFebruary 5, 2014

✔ NPI 1265581284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 29963

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 29963 (NC)

6020 FAYETTEVILLE RD, Durham, NC 27713

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Other Identifiers 3

Medicare PIN210589CNC

Medicare UPIND62813NC

Medicare PIN210589DNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 (PECOS)

Carlos A Sotolongo M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Sotolongo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke University Affiliated Physicians, Inc.

Same address

Family Medicine

6020 FAYETTEVILLE RD
Durham, NC 27713

Reassigned Medicare billing, North Carolina enrollment
636 clinicians in this Medicare group

NPI 1669400313 (919) 620-4917

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers14 claims45 services$6.60 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 17

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

MAGGIE A WILLIAMS M.D.

Family Medicine