NIKET SONPAL M.D.
NPI 1023347770
Internal Medicine - Gastroenterology in Temple, TX

Q: What is Niket Sonpal's NPI number?

The NPI number for Niket Sonpal is 1023347770. It was assigned to this individual provider in the NPPES registry on December 9, 2009.

Q: What is Niket Sonpal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Niket Sonpal was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 09, 2009PECOS EnrolledAccepts Medicare Assignment

2401 S 31ST ST, TEMPLE, TX 76508(254) 724-2111 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2021, Apr 20, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Niket Sonpal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKET SONPAL M.D. (NPI 1023347770) is an individual gastroenterology provider in Temple, Texas, licensed in Texas (T0628) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1023347770

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNIKET SONPALCredential: M.D.

Location Address2401 S 31ST STTemple, TX 76508-4906

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111

Phone(254) 724-2111

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateDecember 9, 2009

Last NPPES UpdateJune 3, 20214 updates tracked since enumeration

NPPES CertifiedJune 3, 2021

✔ NPI 1023347770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in TX · T0628✔ Licensed in WI · 67649

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2401 S 31ST ST, Temple, TX 76508

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Secondary Practice Location 1

Location 11836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Niket Sonpal 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.

PECOS PAC ID8426329814

PECOS Enrollment IDI20210413001197

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

63 services57 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

54 services52 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

32 services32 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

30 services30 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

22 services20 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450101

Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIFFANY JONES BERRY MD

Family Medicine