ANDREW P SOISSON (MD) – Gynecologic Oncology Physician, NPI 1790794568

ANDREW P SOISSON (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in GYNECOLOGICAL ONCOLOGY, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 52954801205 (UT). The NPI Number for ANDREW P SOISSON (MD) is 1790794568

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW P SOISSON (MD)
NPI
1790794568
Phone
(801) 585-0067
Address
UNIVERSITY OF UTAH/DEPARTMENT OBGYN
Enumeration Date
7 August 2006
Last Update Date
17 November 2021

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8015876336
Graduation Year
1981 (45 years ago)
PAC ID
0840195335
Group Practice PAC ID
2961726831
Professional Enrollment ID
I20031208000146
Address ID
UT841320100SA50XXXDRXX406
Telehealth
Yes

Contacts

Secure Messaging
asoisson44594@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

16 GYNECOLOGICAL ONCOLOGY in UT

Provider Addresses for ANDREW P SOISSON (MD)

  • UNIVERSITY OF UTAH/DEPARTMENT OBGYN

    30N, 1900E, SUITE 2B200

    SALT LAKE CITY, UT 841320001

    Phone: (801) 585-0067

    Mailing address matches the actual address.

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: 2003-12-08

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
I20031208000146IGynecological OncologyUTTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes177144$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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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: 2961726831View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Nurse PractitionerUT
Physical Medicine And RehabilitationIL
Physician AssistantNC
Physical Medicine And RehabilitationIL
-UT
-UT
Physical Medicine And RehabilitationUT
Physical Medicine And RehabilitationUT

Reviews

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Frequently asked questions

Does ANDREW P SOISSON (MD) have a public NPI I can cite?
Public records show ANDREW P SOISSON (MD) under NPI 1790794568.
Should I treat ANDREW P SOISSON (MD) as an active provider?
Patients and plans typically see ANDREW P SOISSON (MD) as active in the national extract.
What type of care does ANDREW P SOISSON (MD) provide?
ANDREW P SOISSON (MD)'s profile centers on Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ANDREW P SOISSON (MD)?
The directory associates ANDREW P SOISSON (MD) with Salt Lake City, Utah. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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