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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SONIA KUMAR GENTILE MD, PHD
NPI 1023637030
Pediatrics in Grand Rapids, MI

Active since April 09, 2020PECOS Enrolled
100 MICHIGAN ST NE RM 280, GRAND RAPIDS, MI 49503(616) 267-0118 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2026, Apr 9, 2020 (2 updates tracked since 2020).

About Dr. Sonia Kumar Gentile Md, Phd NPPES

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

DR. SONIA KUMAR GENTILE MD, PHD (NPI 1023637030) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4351046800) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023637030
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SONIA KUMAR GENTILECredential: MD, PHD
Location Address100 MICHIGAN ST NE RM 280Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St NeGrand Rapids, MI 49503-2560
Phone(616) 267-0118
Sole ProprietorNo
Enumeration DateApril 9, 2020
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1023637030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4351046800
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4351046800 (MI)
100 MICHIGAN ST NE RM 280, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sonia Kumar Gentile Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sonia Gentile reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Health Primary Care Partners
0.1 mi
Hospitalist
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1790093763 (616) 391-3139

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 9

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

DR. ROBERT J VEENEMA DO
Pediatrics
100 MICHIGAN ST NE RM 280
GRAND RAPIDS, MI 49503
Kent County (616) 267-0115
JUSTIN E STEELE MD
Pediatrics
100 MICHIGAN ST NE RM 280
GRAND RAPIDS, MI 49503
Kent County (616) 267-0118
DARYA FALAMARZI MD
Pediatrics
100 MICHIGAN ST NE RM 280
GRAND RAPIDS, MI 49503
Kent County (616) 267-0118
DR. MATTHEW GARY PETTY M.D.
Pediatrics
100 MICHIGAN ST NE RM 280
GRAND RAPIDS, MI 49503
Kent County (616) 267-0118
NICHOLAS WILLIAM BEAM MD
Pediatrics
100 MICHIGAN ST NE RM 280
GRAND RAPIDS, MI 49503
Kent County (616) 267-0118
CASSANDRA OBERNDORF DO
Pediatrics
100 MICHIGAN ST NE RM 280
GRAND RAPIDS, MI 49503
Kent County (616) 267-0118
DR. MEREDITH ROSE HICKSON MD
Pediatrics
100 MICHIGAN ST NE RM 280
GRAND RAPIDS, MI 49503
Kent County (616) 267-0118
BAILA SIMA HARRIS MD
Pediatrics
100 MICHIGAN ST NE RM 280
GRAND RAPIDS, MI 49503
Kent County (616) 267-0118

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 Gentile's NPI number?

The NPI number for Sonia Gentile is 1023637030. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Sonia Gentile located?

Sonia Gentile practices at 100 Michigan St NE Rm 280, Grand Rapids, MI 49503. The listed phone number is (616) 267-0118.

What is Sonia Gentile's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sonia Gentile enrolled in Medicare?

Yes. Sonia Gentile is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sonia Gentile's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Gentile reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). 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 Gentile's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Gentile accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Sonia Gentile 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 Gentile was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.