MARY S SODERSTROM (M.D.) – Psychiatry Physician, NPI 1427160704

MARY S SODERSTROM (M.D.) is a healthcare provider. based in Rosenberg, Texas. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. J0896 (TX). The NPI Number for MARY S SODERSTROM (M.D.) is 1427160704

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MARY S SODERSTROM (M.D.)
NPI
1427160704
Phone
(281) 239-1369
Address
4910 AIRPORT AVE
Enumeration Date
31 August 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
8123169042
Group Practice PAC ID
7618963265
Professional Enrollment ID
I20100113000877
Address ID
TX774715759RO4910XDXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

Loading map...

Provider Addresses for MARY S SODERSTROM (M.D.)

  • Texana Center Behavioral Healthcare Clinic at Rosenberg, 4910, Airport Avenue, Rosenberg, Fort Bend County, Texas, 77471, United States

    BLDG D

    ROSENBERG, TX 774715759

    Phone: (281) 239-1369

    Fax: (281) 239-0828

    Type: Mailing

  • 1460, Walnut Street, Columbus, Colorado County, Texas, 78934, United States

    COLUMBUS, TX 789342131

    Phone: (979) 732-6204

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: ABBVIE INC. ($80).

Total Amount

$204

General + Research + Ownership

Payments

9

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

Latest reported date

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: 2010-01-13

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
I20100113000877IPsychiatryTXTBD

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 minutes6920$0
View full utilization report →

Insurance plans in this area (ZIP 77471)

Loading plans...

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: 7618963265View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is MARY S SODERSTROM (M.D.) listed with a National Provider Identifier?
Yes — MARY S SODERSTROM (M.D.) has NPI 1427160704 on file in the registry.
Is there an active status for MARY S SODERSTROM (M.D.)?
For scheduling context, MARY S SODERSTROM (M.D.) is shown as active in the registry.
What clinical focus is listed for MARY S SODERSTROM (M.D.)?
At a glance, MARY S SODERSTROM (M.D.) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is MARY S SODERSTROM (M.D.) located near Rosenberg?
MARY S SODERSTROM (M.D.) currently maps to Rosenberg, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

DR. BAHADUR SARKARI (M.D.)

Psychiatry Physician
3007, North Richmond Road, Wharton, Wharton County, Texas, 77488, United States
NPI: 1649264110

Unknown Individual

Psychiatry Physician
1460, Walnut Street, Columbus, Colorado County, Texas, 78934, United States
NPI: 1912948571

DARYL KEITH KNOX (MD)

Psychiatry Physician
9401 SOUTWEST FWY
NPI: 1467561415

OWEN O OSAGIE (M.D.)

Psychiatry Physician
Texana Center Behavioral Healthcare Clinic at Rosenberg, 4910, Airport Avenue, Rosenberg, Fort Bend County, Texas, 77471, United States
NPI: 1164534426

ORLANDO P PECCORA (M.D.)

Psychiatry Physician
Texana Center Behavioral Healthcare Clinic at Rosenberg, 4910, Airport Avenue, Rosenberg, Fort Bend County, Texas, 77471, United States
NPI: 1538255161

CLAIRE LESLIE FRIEDMAN (M.D.)

Psychiatry Physician
Texana Center Behavioral Healthcare Clinic at Rosenberg, 4910, Airport Avenue, Rosenberg, Fort Bend County, Texas, 77471, United States
NPI: 1811063209

DR. RUTH EVANS EVANS (M.D.)

Psychiatry Physician
4910 AIRPORT AVE BLDG D
NPI: 1225182009

DR. OLAJIDE HAKEEM MASHA (MD)

Psychiatry Physician
8810, Sage Place Drive, Houston, Harris County, Texas, 77071, United States
NPI: 1457553505

YAHYA SAEED (M.D.)

Psychiatry Physician
Texana Center Behavioral Healthcare Clinic at Rosenberg, 4910, Airport Avenue, Rosenberg, Fort Bend County, Texas, 77471, United States
NPI: 1205005519