TIFFANY M SOTELO M.D.
NPI 1922189935
Urology in Fairfax, VA

Active since October 17, 2006PECOS Enrolled
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033(703) 934-4122 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2021, May 27, 2021 (2 updates tracked since 2021).

About Tiffany M Sotelo M.d. NPPES

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

TIFFANY M SOTELO M.D. (NPI 1922189935) is an individual urology provider in Fairfax, Virginia, licensed in Virginia (0101241947) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922189935
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameTIFFANY M SOTELOCredential: M.D.
Location Address12255 FAIR LAKES PKWYFairfax, VA 22033-3952
Mailing Address12255 Fair Lakes PkwyFairfax, VA 22033-3952 · (703) 934-4122
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJune 8, 20212 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1922189935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in VA · 0101241947
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
12255 FAIR LAKES PKWY, Fairfax, VA 22033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany M Sotelo M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tiffany Sotelo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
12255 FAIR OAKS PKWY
Fairfax, VA 22033
Multi-Specialty
2740 PROSPERITY AVE STE 200
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

Family Medicine
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Internal Medicine (Hematology & Oncology)
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033
Obstetrics & Gynecology
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033
Pediatrics
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Ophthalmology
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Clinic/Center (Health Service)
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Ophthalmology
12255 FAIR LAKES PKWY, KAISER PERMANENTE
FAIRFAX, VA 22033
Colon & Rectal Surgery
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033

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 Tiffany Sotelo's NPI number?

The NPI number for Tiffany Sotelo is 1922189935. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Tiffany Sotelo located?

Tiffany Sotelo practices at 12255 Fair Lakes Pkwy, Fairfax, VA 22033. The listed phone number is (703) 934-4122.

What is Tiffany Sotelo's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tiffany Sotelo enrolled in Medicare?

Yes. Tiffany Sotelo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tiffany Sotelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Sotelo reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA) and Inova Health Care Services (Fairfax, VA). Each 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 Tiffany Sotelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Sotelo was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.