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ELSA PATRICIA SOTELO-RAFIQ M.D.
NPI 1740424142
Pathology - Anatomic Pathology in Houston, TX

Active since April 29, 2009PECOS EnrolledAccepts Medicare Assignment
6565 FANNIN ST, M227, HOUSTON, TX 77030(713) 441-3490(713) 793-1603 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elsa Patricia Sotelo-rafiq M.d. NPPES

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

ELSA PATRICIA SOTELO-RAFIQ M.D. (NPI 1740424142) is an individual anatomic pathology provider in Houston, Texas, licensed in Texas (N/A) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Las Palmas Medical Center A Campus Of Lpds Healthc, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1740424142
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameELSA PATRICIA SOTELO-RAFIQCredential: M.D.
Location Address6565 FANNIN ST, M227Houston, TX 77030-2703
Mailing Address2120 El Paseo St, # 3007Houston, TX 77054-3241 · (713) 383-6899 · Fax (713) 500-0712
Phone(713) 441-3490
Fax(713) 793-1603
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 29, 2009
✔ NPI 1740424142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in TX · N/A
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
6565 FANNIN ST, Houston, TX 77030
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Other Names 1

Former Name (1)Elsa Patricia Sotelo M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Elsa Patricia Sotelo-rafiq 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 ID3072708239
PECOS Enrollment IDI20101112000889
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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
163 services107 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
98 services16 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
41 services36 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
35 services27 patients
Pathology examination of tissue using a microscope, limited examination 88300
A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
27 services25 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
27 services24 patients

Hospital Affiliations CMS Care Compare

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

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

SMAROULA DILIOGLOU PHD
Specialist/Technologist, Pathology
6565 FANNIN ST, MS205
HOUSTON, TX 77030
Harris County (713) 394-6450
MS. PRISCILLA DIAZ RN
Registered Nurse
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-2030
HOUSTON METHODIST CARDIOVASCULAR ANESTHESIA
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 667-6097
LAN ZHOU MD
Pathology (Anatomic Pathology & Clinical Pathology)
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 394-6450
DR. AMANDA WALTON BASFORD M.D.
Internal Medicine (Nephrology)
6565 FANNIN ST, FONDREN 270
HOUSTON, TX 77030
Harris County (713) 441-0006
MRS. AMY REYES MICLAT RN, MS, CCRN, APRN-B
Nurse Practitioner (Acute Care)
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-4999
DR. MAHEEN ADAM WARDAK MD
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-2194
DR. SHUANG LI M.D.
Hospitalist
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 368-9466

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 Elsa Sotelo-rafiq's NPI number?

The NPI number for Elsa Sotelo-rafiq is 1740424142. It was assigned to this individual provider in the NPPES registry on April 29, 2009. The provider is also known as Elsa Patricia Sotelo M.D..

Where is Elsa Sotelo-rafiq located?

Elsa Sotelo-rafiq practices at 6565 Fannin St M227, Houston, TX 77030. The listed phone number is (713) 441-3490.

What is Elsa Sotelo-rafiq's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Elsa Sotelo-rafiq enrolled in Medicare?

Yes. Elsa Sotelo-rafiq 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 Elsa Sotelo-rafiq accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Elsa Sotelo-rafiq 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 Elsa Sotelo-rafiq affiliated with any hospitals?

According to CMS data, Elsa Sotelo-rafiq is affiliated with Las Palmas Medical Center A Campus Of Lpds Healthc.

When was this NPI record last updated?

The NPPES record for Elsa Sotelo-rafiq was last updated on April 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.