SILVIA M SOTO MD,DO
NPI 1356961841
Family Medicine - Adult Medicine in Saint Joseph, MI

Q: What is Silvia Soto's NPI number?

The NPI number for Silvia Soto is 1356961841. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Q: What is Silvia Soto's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Silvia Soto was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 24, 2020PECOS EnrolledAccepts Medicare Assignment

1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 985-4632 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 8, 2023, Apr 24, 2020 (2 updates tracked since 2020).

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About Silvia M Soto Md,do NPPES

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

SILVIA M SOTO MD,DO (NPI 1356961841) is an individual adult medicine provider in Saint Joseph, Michigan, licensed in Michigan (5101027625) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains a secondary practice location in Flushing.

NPPES Registry Identity

NPI1356961841

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameSILVIA M SOTOCredential: MD,DO

Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112

Mailing Address1234 Napier AveSaint Joseph, MI 49085-2112

Phone(269) 985-4632

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 24, 2020

Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration

NPPES CertifiedDecember 8, 2023

✔ NPI 1356961841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in MI · 5101027625

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1234 NAPIER AVE, Saint Joseph, MI 49085

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Secondary Practice Location 1

Location 15645 Main StFlushing, NY 11355-5045 · Phone (718) 670-2688

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Silvia M Soto Md,do 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 ID7517321789

PECOS Enrollment IDI20230907000858

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 4

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.

429 services159 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

141 services141 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

87 services85 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

16 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230078

Location400 Medical Park DrWatervliet, MI 49098 · Berrien County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

HANY S MESIHA MD

Internal Medicine

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 983-8300

CORY MINIER SCHMIDT MD

Pediatrics

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 985-4632

JORDAN ANDERSON

Occupational Therapist

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 983-8332

DR. KAREN J DYER M.D.

Pediatrics

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 985-4632

MR. NATHAN JOHN JORDAN MD

Radiology (Diagnostic Radiology)

1234 NAPIER AVE
ST JOSEPH, MI 49085

Berrien County (269) 983-8300

DR. JAMES G. SISAMIS MD

Anesthesiology

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 428-0118

DR. DIEGO P BETITA MD

Anesthesiology

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 428-0118

DR. JESSICA LYNN HAMILL SCHINDLER D.O.

Emergency Medicine

1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085

Berrien County (269) 982-4941

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 Silvia Soto's NPI number?

The NPI number for Silvia Soto is 1356961841. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Silvia Soto located?

Silvia Soto practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 985-4632.

What is Silvia Soto's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Silvia Soto enrolled in Medicare?

Yes. Silvia 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.

What insurance does Silvia Soto accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Silvia 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 Silvia Soto affiliated with any hospitals?

According to CMS data, Silvia Soto is affiliated with Lakeland Hospital, St Joseph, Spectrum Health and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Silvia Soto was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.