DYLAN BOYD SODERSTRUM MD
NPI 1720664188
Emergency Medicine in Charlottesville, VA
About Dylan Boyd Soderstrum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYLAN BOYD SODERSTRUM MD (NPI 1720664188) is an individual emergency medicine provider in Charlottesville, Virginia, licensed in Louisiana (341002) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Terrebonne General Medical Center - Parish, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Dylan Boyd Soderstrum 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.
Medicare Billing Reassignments
6Medicare enrollment records show Dylan Soderstrum reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bogalusa, LA 70427
- Reassigned Medicare billing, Louisiana enrollment
- 91 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 197 clinicians in this Medicare group
Metairie, LA 70001
- Reassigned Medicare billing, Louisiana enrollment
- 176 clinicians in this Medicare group
Metairie, LA 70006
- Reassigned Medicare billing, Louisiana enrollment
- 20 clinicians in this Medicare group
Houma, LA 70360
- Reassigned Medicare billing, Louisiana enrollment
- 168 clinicians in this Medicare group
Lafayette, LA 70508
- Reassigned Medicare billing, Louisiana enrollment
- 114 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 2
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Terrebonne General Medical Center - Parish
Acute Care Hospitals · Houma, LASt Tammany Parish Hospital
Acute Care Hospitals · Covington, LAEast Jefferson General Hospital
Acute Care Hospitals · Metairie, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22908 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.
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 Dylan Soderstrum's NPI number?
The NPI number for Dylan Soderstrum is 1720664188. It was assigned to this individual provider in the NPPES registry on March 24, 2021.
Where is Dylan Soderstrum located?
Dylan Soderstrum practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-8485.
What is Dylan Soderstrum's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Dylan Soderstrum enrolled in Medicare?
Yes. Dylan Soderstrum 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 organizations bill Medicare for Dylan Soderstrum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Soderstrum reassigns Medicare benefits to 6 organizations: Washington Parish Emergency Physicians Group LLC (Bogalusa, LA), St Tammany Emergency Physicians Group LLC (Covington, LA), C & M Medical Services, Inc. (Metairie, LA), East Jefferson Emergency Management LLC (Metairie, LA), Physician Practice Partners (Houma, LA) and 1 more organization, listed in the Medicare section above. 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 Dylan Soderstrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dylan Soderstrum accept?
Health plans from HMO Louisiana list Dylan Soderstrum 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 Dylan Soderstrum affiliated with any hospitals?
According to CMS data, Dylan Soderstrum is affiliated with Terrebonne General Medical Center - Parish, St Tammany Parish Hospital and East Jefferson General Hospital.
When was this NPI record last updated?
The NPPES record for Dylan Soderstrum was last updated on August 7, 2024. 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.
# Dylan Boyd Soderstrum, MD · NPI 1720664188
Emergency Medicine physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since March 24, 2021.
## Identity
- **NPI:** 1720664188 (Entity type: Individual)
- **Enumerated:** March 24, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 341002 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 LEE ST, Charlottesville, VA 22908-0816
- **Phone:** (434) 924-8485 · **Fax:** (434) 982-4118
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Washington Parish Emergency Physicians Group LLC (NPI 1538511043, Bogalusa, LA); St Tammany Emergency Physicians Group LLC (NPI 1891187654, Covington, LA); C & M Medical Services, Inc. (NPI 1710903059, Metairie, LA); East Jefferson Emergency Management LLC (NPI 1639684061, Metairie, LA); Physician Practice Partners (NPI 1326598434, Houma, LA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720664188) · Data from the CMS NPPES public registry.