DR. SONIA GORDON-DOLE M.D.
NPI 1003927047
Internal Medicine - Rheumatology in Hamden, CT
About Dr. Sonia Gordon-dole M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SONIA GORDON-DOLE M.D. (NPI 1003927047) is an individual rheumatology provider in Hamden, Connecticut, licensed in Connecticut (031302) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sonia Gordon-dole M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sonia Gordon-dole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hamden, CT 06514
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06518 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAMDEN, CT 06518
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sonia Gordon-dole's NPI number?
The NPI number for Sonia Gordon-dole is 1003927047. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Sonia Gordon-dole located?
Sonia Gordon-dole practices at 3018 Dixwell Ave, Hamden, CT 06518. The listed phone number is (203) 281-5910.
What is Sonia Gordon-dole's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Sonia Gordon-dole enrolled in Medicare?
Yes. Sonia Gordon-dole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sonia Gordon-dole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Gordon-dole reassigns Medicare benefits to Yale University (Hamden, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonia Gordon-dole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sonia Gordon-dole accept?
Health plans from Anthem Blue Cross and Blue Shield list Sonia Gordon-dole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sonia Gordon-dole was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sonia Gordon-Dole, M.D. · NPI 1003927047
Rheumatology physician in Hamden, Connecticut. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1003927047 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 031302 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 3018 DIXWELL AVE, Hamden, CT 06518-3508
- **Phone:** (203) 281-5910 · **Fax:** (203) 281-2308
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Yale University (NPI 1134391824, Hamden, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** February 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1003927047) · Data from the CMS NPPES public registry.