DR. SOREN KNUDSEN ESTVOLD MD MPH CAQSM
NPI 1831714211
Family Medicine - Sports Medicine in Jbsa Lackland, TX

Q: What is Soren Estvold's NPI number?

The NPI number for Soren Estvold is 1831714211. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Q: What is Soren Estvold's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Soren Estvold was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since June 11, 2020PECOS Enrolled

1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(706) 721-3159 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Aug 15, 2024, Jul 11, 2023 and 1 more (4 updates tracked since 2020).

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About Dr. Soren Knudsen Estvold Md Mph Caqsm NPPES

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

DR. SOREN KNUDSEN ESTVOLD MD MPH CAQSM (NPI 1831714211) is an individual sports medicine provider in Jbsa Lackland, Texas, licensed in Georgia (94989) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831714211

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. SOREN KNUDSEN ESTVOLDCredential: MD MPH CAQSM

Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638

Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638

Phone(706) 721-3159

Sole ProprietorYes

Enumeration DateJune 11, 2020

Last NPPES UpdateJune 17, 20254 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1831714211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in GA · 94989

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 11978 (GA)

1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Soren Knudsen Estvold Md Mph Caqsm 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

DR. REGINA MARIA REINSVOLD M.D.

Anesthesiology

1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236

Bexar County (210) 292-6255

ROBERT LEE LMFT

Marriage & Family Therapist

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6255

DR. FINIANNE JIMENEZ UMALI-CORRY DO, MPH

Internal Medicine

1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236

Bexar County (210) 292-4277

DAVID CHRISTOPHER MARI D.O.

Allergy & Immunology

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6255

DR. HANNAH GHONG-JU AHN MD

Radiology (Diagnostic Radiology)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-4482

MRS. CASSANDRA LANETTE DOUGLAS PHARMACIST

Pharmacist

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (102) 292-1144

DR. CHARLES RICHARD ELCHERT JR. D.C.

Chiropractor

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-3587

DR. LISA LEADER KOHLER OD

Optometrist

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6255

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 Soren Estvold's NPI number?

The NPI number for Soren Estvold is 1831714211. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Soren Estvold located?

Soren Estvold practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (706) 721-3159.

What is Soren Estvold's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Soren Estvold enrolled in Medicare?

Yes. Soren Estvold is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soren Estvold was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.