ANTHONY SOTO MD
NPI 1306420740
Family Medicine in Bellaire, TX

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment
6500 WEST LOOP S STE 200F, BELLAIRE, TX 77401(713) 486-2900 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2025, May 11, 2021 (2 updates tracked since 2021).

About Anthony Soto Md NPPES

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

ANTHONY SOTO MD (NPI 1306420740) is an individual family medicine provider in Bellaire, Texas, licensed in Texas (W0742) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306420740
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY SOTOCredential: MD
Location Address6500 WEST LOOP S STE 200FBellaire, TX 77401-3535
Mailing Address6500 West Loop S Ste 200fBellaire, TX 77401-3535 · (713) 486-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 11, 2021
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1306420740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · W0742
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.
6500 WEST LOOP S STE 200F, Bellaire, TX 77401

Accepted 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

Anthony 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 ID6406351717
PECOS Enrollment IDI20250926001862
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 Anthony Soto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
6410 FANNIN ST, SUITE 170
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 124 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77401 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 11

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

Social Worker (Clinical)
6500 WEST LOOP S STE 200F
BELLAIRE, TX 77401
Surgery
6500 WEST LOOP S STE 200F
BELLAIRE, TX 77401
Pathology (Anatomic Pathology & Clinical Pathology)
6500 WEST LOOP S STE 200F
BELLAIRE, TX 77401
Internal Medicine
6500 WEST LOOP S STE 200F
BELLAIRE, TX 77401
Dermatology
6500 WEST LOOP S STE 200F
BELLAIRE, TX 77401
Internal Medicine
6500 WEST LOOP S STE 200F
BELLAIRE, TX 77401
Surgery (Surgical Oncology)
6500 WEST LOOP S STE 200F
BELLAIRE, TX 77401
Internal Medicine (Gastroenterology)
6500 WEST LOOP S STE 200F
BELLAIRE, TX 77401

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 Anthony Soto's NPI number?

The NPI number for Anthony Soto is 1306420740. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Anthony Soto located?

Anthony Soto practices at 6500 West Loop S Ste 200F, Bellaire, TX 77401. The listed phone number is (713) 486-2900.

What is Anthony Soto's specialty?

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

Is Anthony Soto enrolled in Medicare?

Yes. Anthony 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 organization bills Medicare for Anthony Soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Soto reassigns Medicare benefits to Ut Physicians Specialty Services (Houston, TX). The 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 Anthony Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Soto accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Anthony 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 Anthony Soto affiliated with any hospitals?

According to CMS data, Anthony Soto is affiliated with Memorial Hermann - Texas Medical Center and Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Anthony Soto was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.