DR. ALFREDO JOSE SOTO (M.D.) – Psychiatry Physician, NPI 1841308632

DR. ALFREDO JOSE SOTO (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MD21696 (OR). The NPI Number for DR. ALFREDO JOSE SOTO (M.D.) is 1841308632

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALFREDO JOSE SOTO (M.D.)
NPI
1841308632
Phone
(800) 653-6568
Address
2799 W Grand Blvd
Enumeration Date
29 August 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
7575479334
Graduation Year
1995 (31 years ago)
PAC ID
4688638422
Group Practice PAC ID
6204885601
Professional Enrollment ID
I20221205000006
Address ID
VA233203904CH224XXBLVD400
Telehealth
Yes

Contacts

Secure Messaging
asoto1457779@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,213 PSYCHIATRY in MI

Provider Addresses for DR. ALFREDO JOSE SOTO (M.D.)

  • 2799 W Grand Blvd

    Detroit, MI 482022608

    Phone: (800) 653-6568

    Type: Location

  • 182, Southwest Academy Street, Dallas City Limits, Polk County, Oregon, 97338, United States

    SUITE 30

    DALLAS, OR 973381922

    Phone: (503) 623-9289

    Fax: (503) 831-1726

    Type: Location

  • 17695 OCEAN BLVD

    ROCKAWAY BEACH, OR 971369689

    Phone: (503) 548-7363

    Type: Mailing

  • 64, Touchstone, Mountain Park, Lake Oswego, Clackamas County, Oregon, 97035, United States

    LAKE OSWEGO, OR 970351909

    Phone: (503) 548-7363

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($41).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041112000237IPsychiatryORTBD
I20220322000554IPsychiatryMDTBD
I20221205000006IPsychiatryVATBD
I20260121002121IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204885601View full group profile
NameSpecialtyState
Nurse PractitionerTN
Clinical Social WorkerVA
Nurse PractitionerFL
-VA
Mental Health CounselorVA
-VA
P S Y C H I A T R YVA
-VA
P S Y C H I A T R YVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

Is DR. ALFREDO JOSE SOTO (M.D.) listed with a National Provider Identifier?
Yes — DR. ALFREDO JOSE SOTO (M.D.) has NPI 1841308632 on file in the registry.
Is DR. ALFREDO JOSE SOTO (M.D.) shown as active in public data?
Registry records indicate DR. ALFREDO JOSE SOTO (M.D.) maintains an active NPI.
What kind of doctor is DR. ALFREDO JOSE SOTO (M.D.)?
DR. ALFREDO JOSE SOTO (M.D.) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. ALFREDO JOSE SOTO (M.D.) located near Detroit?
DR. ALFREDO JOSE SOTO (M.D.) currently maps to Detroit, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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