SOEB USTA
NPI 1689133670
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since March 18, 2019PECOS Enrolled
506 6TH ST, BROOKLYN, NY 11215(718) 780-3000 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2023, Mar 18, 2019 (2 updates tracked since 2019).

About Soeb Usta NPPES

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

SOEB USTA (NPI 1689133670) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689133670
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSOEB USTA
Location Address506 6TH STBrooklyn, NY 11215-3609
Mailing Address1174 Hannaford LnJohns Creek, GA 30097-6503
Sole ProprietorNo
Enumeration DateMarch 18, 2019
Last NPPES UpdateApril 5, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1689133670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
506 6TH ST, Brooklyn, NY 11215

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soeb Usta 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 Soeb Usta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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.

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.

Surgery
506 6TH ST
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Nurse Practitioner (Adult Health)
506 6TH ST, EP2
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215
Pathology (Anatomic Pathology)
506 6TH ST
BROOKLYN, NY 11215
Pediatrics
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215

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 Soeb Usta's NPI number?

The NPI number for Soeb Usta is 1689133670. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Soeb Usta located?

Soeb Usta practices at 506 6th St, Brooklyn, NY 11215. The listed phone number is (718) 780-3000.

What is Soeb Usta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Soeb Usta enrolled in Medicare?

Yes. Soeb Usta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Soeb Usta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soeb Usta reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). 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 Soeb Usta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Soeb Usta was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.