FRANK ALEXANDER SOTO LEON MD
NPI 1861635732
Emergency Medicine in Omaha, NE

NPI Status: Active since April 08, 2009

Contact Information

16901 LAKESIDE HILLS CT
OMAHA, NE
ZIP 68130
Phone: (402) 717-8000
Fax: (937) 619-4150

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  • Individual
  • Male
  • Emergency Medicine
  • PECOS Enrolled

About FRANK SOTO LEON

This page provides the complete NPI Profile along with additional information for Frank Soto Leon, a provider established in Omaha, Nebraska with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1861635732 assigned on April 2009. The practitioner's primary taxonomy code is 207P00000X with license number 26482 (NE). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1861635732
Provider Name
FRANK ALEXANDER SOTO LEON MD
Gender
Male
Entity Type
Individual
Location Address
16901 LAKESIDE HILLS CT OMAHA, NE 68130
Location Phone
(402) 717-8000
Location Fax
(937) 619-4150
Mailing Address
4750 HEMPSTEAD STATION DR KETTERING, OH 45429
Mailing Phone
(800) 875-0136
Mailing Fax
(937) 619-4150
Is Sole Proprietor?
Yes
Enumeration Date
04-08-2009
Last Update Date
06-24-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
26482
License State
NE
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Frank Soto Leon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 68130 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.2
  • Minimum New Patient Price $52.69
  • Maximum New Patient Price $160.21
  • Average New Patient Copayment $20.3
  • Minimum New Patient Copayment $13.17
  • Maximum New Patient Copayment $40.05

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.55
  • Minimum Established Patient Price $16.9
  • Maximum Established Patient Price $131.25
  • Average Established Patient Copayment $23.38
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.81

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861635732, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 1 + 2 + 3 + 1 + 0 + 7 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1861635732.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Nurse Anesthetist, Certified Registered
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Anesthesiology
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Anesthesiology
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Anesthesiology
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Anesthesiology
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Nurse Anesthetist, Certified Registered
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Nurse Anesthetist, Certified Registered
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Nurse Anesthetist, Certified Registered
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Physician Assistant
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Anesthesiology
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Anesthesiology
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Physical Therapy Assistant
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Nurse Anesthetist, Certified Registered
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Nurse Anesthetist, Certified Registered
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Physician Assistant (Medical)
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Specialist/Technologist (Athletic Trainer)
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Emergency Medicine
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Physician Assistant
16901 LAKESIDE HILLS CT, ATTN: HOSPITAL MEDICINE
OMAHA, NE 68130
Nurse Practitioner
16901 LAKESIDE HILLS CT
OMAHA, NE 68130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861635732, enumerated as an "individual" on April 08, 2009.

The provider is located at 16901 LAKESIDE HILLS CT OMAHA, NE 68130 and the phone number is (402) 717-8000.

Emergency Medicine with taxonomy code 207P00000X.