JOEL RODERICK SOMA (MD) – Family Medicine Physician, NPI 1053809020

JOEL RODERICK SOMA (MD) is a healthcare provider. based in Saint paul, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 65783 (MN). The NPI Number for JOEL RODERICK SOMA (MD) is 1053809020

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOEL RODERICK SOMA (MD)
NPI
1053809020
Phone
Not provided
Address
580 RICE ST
Enumeration Date
25 April 2018
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9528841148
Graduation Year
2018 (8 years ago)
PAC ID
3678838265
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20190729001126
Address ID
MN554202824BL8600XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for JOEL RODERICK SOMA (MD)

  • Bethesda Family Practice, 580, Rice Street, Saint Paul, Ramsey County, Minnesota, 55126, United States

    SAINT PAUL, MN 551032148

    Phone:

    Type: Mailing

  • 8170 33RD AVE S

    MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 1654 DIFFLEY RD

    STE 100

    EAGAN, MN 551222237

    Phone: (651) 641-3900

    Type: Location

  • 234 Wentworth Ave E

    West Saint Paul, MN 551183525

    Phone: (651) 455-2940

    Fax: (651) 455-3354

    Type: Location

  • 2025 SLOAN PL STE 35

    SAINT PAUL, MN 551172092

    Phone: (651) 772-1572

    Fax: (651) 772-1889

    Type: Mailing

  • 234 WENTWORTH AVE E

    WEST SAINT PAUL, MN 551183525

    Phone: (651) 455-2940

    Fax: (651) 455-3354

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190729001126IFamily PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes213120$0
36415Insertion of needle into vein for collection of blood sample155100$0
99213Established patient office or other outpatient visit, 20-29 minutes11189$0
85610Blood test, clotting time6312$0
83036Hemoglobin a1c level5832$0
View full utilization report →

Insurance plans in this area (ZIP 55103)

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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: 1759293954View full group profile
NameSpecialtyState
-MN
Clinical PsychologistMN
Physician AssistantMN
Pediatric MedicineMN
O P T O M E T R YNJ
Nurse PractitionerMN
Emergency MedicineMN
Family PracticeWI
Cardiac Surgery, Thoracic Surgery, Vascular SurgeryMN
Family Practice, Peripheral Vascular DiseaseMN

Reviews

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Frequently asked questions

How do I look up JOEL RODERICK SOMA (MD) by NPI?
Use NPI 1053809020 when you need to reference JOEL RODERICK SOMA (MD) in forms, claims, or directories.
Is JOEL RODERICK SOMA (MD) active in the national directory?
JOEL RODERICK SOMA (MD)'s public NPI profile is in an active state.
What field does JOEL RODERICK SOMA (MD) work in?
You can think of JOEL RODERICK SOMA (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOEL RODERICK SOMA (MD)?
The page summarizes Saint Paul, Minnesota for JOEL RODERICK SOMA (MD); expand the address list for detail.
What if Saint Paul, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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