SILVIA M SOTO MD,DO
NPI 1356961841
Family Medicine - Adult Medicine in Saint Joseph, MI
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
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Silvia Soto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 724 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 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.
Hospital Affiliations CMS Care Compare 2
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, MICorewell Health Watervliet Hospital
Acute Care Hospitals · Watervliet, MIPhysician 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.
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.
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
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.
Which organization bills Medicare for Silvia Soto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Silvia Soto reassigns Medicare benefits to Lakeland Medical Practices (Saint Joseph, MI). 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 Silvia Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Silvia Soto accept?
Health plans from 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 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.
# Silvia M Soto, MD,DO · NPI 1356961841
Adult Medicine physician in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since April 24, 2020.
## Identity
- **NPI:** 1356961841 (Entity type: Individual)
- **Enumerated:** April 24, 2020
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **State license:** 5101027625 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1234 NAPIER AVE, Saint Joseph, MI 49085-2112
- **Phone:** (269) 985-4632
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakeland Medical Practices (NPI 1538397120, Saint Joseph, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356961841) · Data from the CMS NPPES public registry.