GUSTAVO ALEXANDER SOSA
NPI 1770250094
Student in an Organized Health Care Education/Training Program in Middleton, WI

Active since August 24, 2021PECOS Enrolled
8550 GREENWAY BLVD, MIDDLETON, WI 53562(916) 612-7005 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gustavo Alexander Sosa NPPES

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

GUSTAVO ALEXANDER SOSA (NPI 1770250094) is an individual student in an organized health care education/training program in Middleton, Wisconsin and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770250094
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGUSTAVO ALEXANDER SOSA
Location Address8550 GREENWAY BLVDMiddleton, WI 53562-4715
Mailing Address8550 Greenway BlvdMiddleton, WI 53562-4715
Sole ProprietorNo
Enumeration DateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
NPI 1770250094 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.
8550 GREENWAY BLVD, Middleton, WI 53562

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gustavo Alexander Sosa 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.

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 Gustavo Sosa's NPI number?

The NPI number for Gustavo Sosa is 1770250094. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Gustavo Sosa located?

Gustavo Sosa practices at 8550 Greenway Blvd, Middleton, WI 53562. The listed phone number is (916) 612-7005.

What is Gustavo Sosa's specialty?

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

Is Gustavo Sosa enrolled in Medicare?

Yes. Gustavo Sosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gustavo Sosa was last updated on August 24, 2021. 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.