RODRIGO WILLIAM SOTILLO (MD) – Internal Medicine Physician, NPI 1861424319

RODRIGO WILLIAM SOTILLO (MD) is a healthcare provider. based in Nacogdoches, Texas. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. J5488 (TX). The NPI Number for RODRIGO WILLIAM SOTILLO (MD) is 1861424319

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
RODRIGO WILLIAM SOTILLO (MD)
NPI
1861424319
Phone
(936) 560-5668
Address
1309 S UNIVERSITY DR
Enumeration Date
7 July 2006
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9365857121
Graduation Year
1978 (48 years ago)
PAC ID
3274516851
Group Practice PAC ID
9830089796
Professional Enrollment ID
I20040612000754
Address ID
TX759616486NA1309XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for RODRIGO WILLIAM SOTILLO (MD)

  • 1309, South University Drive, Hayward Junction, Nacogdoches, Nacogdoches County, Texas, 75961, United States

    NACOGDOCHES, TX 759616486

    Phone: (936) 560-5668

    Fax: (214) 645-8601

    Type: Location

  • Box Lane, Nacogdoches County, Texas, 75937, United States

    NACOGDOCHES, TX 759632040

    Phone: (936) 560-5668

    Type: Mailing

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: 2004-06-12

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
I20040612000754IInternal MedicineTXTBD

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 75961)

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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: 9830089796View full group profile
NameSpecialtyState
Mental Health CounselorTX
Mental Health CounselorTX
Family PracticeLA

Reviews

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Frequently asked questions

Is there an official ID for RODRIGO WILLIAM SOTILLO (MD) in U.S. healthcare records?
The official identifier for RODRIGO WILLIAM SOTILLO (MD) is NPI 1861424319.
Is there an active status for RODRIGO WILLIAM SOTILLO (MD)?
For scheduling context, RODRIGO WILLIAM SOTILLO (MD) is shown as active in the registry.
What expertise is attributed to RODRIGO WILLIAM SOTILLO (MD)?
RODRIGO WILLIAM SOTILLO (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is RODRIGO WILLIAM SOTILLO (MD) associated with Nacogdoches?
Public fields place RODRIGO WILLIAM SOTILLO (MD) around Nacogdoches, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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