Sotolongo Clinic, PA
NPI 1679826945ActiveOrganization· Podiatrist· Ridgeland, MS
Podiatrist in Ridgeland, Mississippi, registered in NPPES in October 2012, part of Sotolongo Clinic, PA. The authorized official on file is Rose M. Sotolongo, DPM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679826945 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sotolongo Clinic, PA |
| NPI issued | Oct 23, 2012 |
| Last updated in NPPES | Jan 13, 2023 |
| Certified by provider | Jan 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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