SOFLO PODIATRY LLC
NPI 1780339242
Clinic/Center - Podiatric in Hollywood, FL
About Soflo Podiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOFLO PODIATRY LLC (NPI 1780339242) is a healthcare organization registered as a podiatric in Hollywood, Florida and active in the NPI registry since February 2022. The organization lists Jacob Roth, Dr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soflo Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Soflo Podiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Soflo Podiatry LLC's NPI number?
The NPI number for Soflo Podiatry LLC is 1780339242. It was assigned to this organization in the NPPES registry on February 14, 2022.
Where is Soflo Podiatry LLC located?
Soflo Podiatry LLC is located at 4000 Hollywood Blvd Ste 745S, Hollywood, FL 33021. The listed phone number is (585) 474-4589.
What is Soflo Podiatry LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Soflo Podiatry LLC enrolled in Medicare?
Yes. Soflo Podiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Soflo Podiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Soflo Podiatry LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Soflo Podiatry LLC was last updated on March 29, 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.
# Soflo Podiatry Llc · NPI 1780339242
Podiatric organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since February 14, 2022.
## Identity
- **NPI:** 1780339242 (Entity type: Organization)
- **Enumerated:** February 14, 2022
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Jacob Roth, DR
## Practice location
- **Address:** 4000 HOLLYWOOD BLVD STE 745S, Hollywood, FL 33021-1218
- **Phone:** (585) 474-4589
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780339242) · Data from the CMS NPPES public registry.