Nestor Rodolfo Sosa, MD
NPI 1568927812ActiveIndividual· Internal Medicine, Infectious Disease· Albuquerque, NM
Internal Medicine, Infectious Disease (MD) with Unm Medical Group Inc, practicing in Albuquerque, New Mexico. Their prescriptions cost Medicare Part D more than their services did: $22,315 for 126 claims, against $12,658 paid for services in 2024. Lists Unm Hospital as a hospital affiliation.
Overview
| NPI | 1568927812 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jan 31, 2019 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | MD2018-0884 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Infectious Disease (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 75 |
|---|---|
| Services billed | 171 across 14 procedure codes |
| Paid by Medicare | $12,658 |
Part D prescriptions in 2024
| Prescriptions (claims) | 126 · 188 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $22,315 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Infectious Disease |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Unm Medical Group IncAlbuquerque, NM · 1,047 clinicians
Hospital affiliation
- Unm HospitalAlbuquerque, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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