DR. CECILY KOPPUZHA SOTOMAYOR M.D.
NPI 1730543471
Emergency Medicine in Redwood City, CA

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
1100 VETERANS BLVD, REDWOOD CITY, CA 94063(650) 299-2000 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2022, Feb 11, 2022, Jun 28, 2016 (3 updates tracked since 2016).

About Dr. Cecily Koppuzha Sotomayor M.d. NPPES

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

DR. CECILY KOPPUZHA SOTOMAYOR M.D. (NPI 1730543471) is an individual emergency medicine provider in Redwood City, California, licensed in California (A161939) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730543471
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. CECILY KOPPUZHA SOTOMAYORCredential: M.D.
Location Address1100 VETERANS BLVDRedwood City, CA 94063-2037
Mailing Address1713 19th AveSan Francisco, CA 94122-4500
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 8, 2016
Last NPPES UpdateSeptember 23, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1730543471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A161939
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1100 VETERANS BLVD, Redwood City, CA 94063

Secondary Practice Location 1

Location 14802 10th Ave, Maimonides Medical CenterBrooklyn, NY 11219 · Phone (718) 283-6000

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

Dr. Cecily Koppuzha Sotomayor M.d. 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 ID8426393448
PECOS Enrollment IDI20190628001018
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

4

Medicare enrollment records show Cecily Sotomayor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Emergency Medicine
100 S SAN MATEO DR
San Mateo, CA 94401
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83 RM 320
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 842 clinicians in this Medicare group
Emergency Medicine
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 155 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94063 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.55
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.

Physical Therapist
1100 VETERANS BLVD
REDWOOD CITY, CA 94063
Respiratory Therapist, Certified (Critical Care)
1100 VETERANS BLVD
REDWOOD CITY, CA 94063
Speech-Language Pathologist
1100 VETERANS BLVD
REDWOOD CITY, CA 94063
Registered Nurse (Emergency)
1100 VETERANS BLVD
REDWOOD CITY, CA 94063
Pharmacist
1100 VETERANS BLVD
REDWOOD CITY, CA 94063
Physical Therapist
1100 VETERANS BLVD
REDWOOD CITY, CA 94063
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1100 VETERANS BLVD
REDWOOD CITY, CA 94063
Pediatrics
1100 VETERANS BLVD
REDWOOD CITY, CA 94063

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 Cecily Sotomayor's NPI number?

The NPI number for Cecily Sotomayor is 1730543471. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Cecily Sotomayor located?

Cecily Sotomayor practices at 1100 Veterans Blvd, Redwood City, CA 94063. The listed phone number is (650) 299-2000.

What is Cecily Sotomayor's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Cecily Sotomayor enrolled in Medicare?

Yes. Cecily Sotomayor 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 Cecily Sotomayor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecily Sotomayor reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Redwood City, CA), Mills Peninsula Emergency Medical Associates Inc (San Mateo, CA), University Of California Sfgh Medical Group (San Francisco, CA) and San Francisco Emergency Medical Associates (San Francisco, CA). 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 Cecily Sotomayor'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 Cecily Sotomayor was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.