SOKO SETOGUCHI IWATA MD, DRPH
NPI 1336583061
Internal Medicine in New Brunswick, NJ

Active since April 24, 2013PECOS Enrolled
93.71/100
CMS Quality Rating
125 PATERSON ST, NEW BRUNSWICK, NJ 08901(732) 235-7784 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Soko Setoguchi Iwata Md, Drph NPPES

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

SOKO SETOGUCHI IWATA MD, DRPH (NPI 1336583061) is an individual internal medicine provider in New Brunswick, New Jersey, licensed in New Jersey (25MA10188800) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336583061
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSOKO SETOGUCHI IWATACredential: MD, DRPH
Location Address125 PATERSON STNew Brunswick, NJ 08901-1962
Mailing Address112 Paterson StNew Brunswick, NJ 08901-1913
Sole ProprietorNo
Enumeration DateApril 24, 2013
Last NPPES UpdateSeptember 8, 2017
✔ NPI 1336583061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA10188800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
125 PATERSON ST, New Brunswick, NJ 08901

Other Names 1

Professional Name (2)Soko Setoguchi Md, Drph

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soko Setoguchi Iwata Md, Drph 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 Reassignments

3

Medicare enrollment records show Soko Setoguchi Iwata reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rheumatology
125 PATERSON ST, SUITE 5200A
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
Internal Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 43 clinicians in this Medicare group
Internal Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 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.

Areas of Expertise CMS Part B claims

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.
40 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Anesthesiology (Critical Care Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Internal Medicine
125 PATERSON ST, SUITE 5200
NEW BRUNSWICK, NJ 08901
Internal Medicine (Rheumatology)
125 PATERSON ST, SUITE 5200A
NEW BRUNSWICK, NJ 08901
Physician Assistant (Surgical)
125 PATERSON ST, SUITE 4100
NEW BRUNSWICK, NJ 08901
Internal Medicine (Endocrinology, Diabetes & Metabolism)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Internal Medicine
125 PATERSON ST, ROOM 2330
NEW BRUNSWICK, NJ 08901
Internal Medicine
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5100A
NEW BRUNSWICK, NJ 08901

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 Soko Setoguchi Iwata's NPI number?

The NPI number for Soko Setoguchi Iwata is 1336583061. It was assigned to this individual provider in the NPPES registry on April 24, 2013. The provider is also known as Soko Setoguchi MD, Drph.

Where is Soko Setoguchi Iwata located?

Soko Setoguchi Iwata practices at 125 Paterson St, New Brunswick, NJ 08901. The listed phone number is (732) 235-7784.

What is Soko Setoguchi Iwata's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Soko Setoguchi Iwata enrolled in Medicare?

Yes. Soko Setoguchi Iwata is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Soko Setoguchi Iwata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soko Setoguchi Iwata reassigns Medicare benefits to 3 organizations: Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ), Rutgers Health-Rwj Primary Medicine Group (New Brunswick, NJ) and Rutgers Health-Rwj Primary Medicine Group (New Brunswick, NJ). 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 Soko Setoguchi Iwata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soko Setoguchi Iwata accept?

Health plans from Ambetter Health and Oscar Health list Soko Setoguchi Iwata 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.

When was this NPI record last updated?

The NPPES record for Soko Setoguchi Iwata was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.