SONALI HEMACHANDRA MD
NPI 1063578516
Internal Medicine - Infectious Disease in Wheat Ridge, CO

Active since December 29, 2006PECOS Enrolled
94.52/100
CMS Quality Rating
3885 UPHAM ST, SUITE 200, WHEAT RIDGE, CO 80033(303) 425-9245(303) 425-1378 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2020, Mar 3, 2020 (2 updates tracked since 2020).

About Sonali Hemachandra Md NPPES

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

SONALI HEMACHANDRA MD (NPI 1063578516) is an individual infectious disease provider in Wheat Ridge, Colorado, licensed in Colorado (52607) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063578516
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSONALI HEMACHANDRACredential: MD
Location Address3885 UPHAM ST, SUITE 200Wheat Ridge, CO 80033-4880
Mailing AddressPo Box 1449Wheat Ridge, CO 80034-1449 · (303) 425-9245 · Fax (303) 425-1378
Fax(303) 425-1378
Sole ProprietorNo
Enumeration DateDecember 29, 2006
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
NPI 1063578516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in CO · 52607
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3885 UPHAM ST, Wheat Ridge, CO 80033

Other Identifiers 5

Medicaid200975100IN
OtherP00818289IN · Railroad Medicare
Other000000644136IN · Anthem
Medicaid30.56240OH
Medicaid32825234CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sonali Hemachandra Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80033 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

94.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.3
Improvement Activities40
Cost54.99

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.

Internal Medicine
3885 UPHAM ST, STE 100
WHEAT RIDGE, CO 80033
Internal Medicine (Geriatric Medicine)
3885 UPHAM ST, 100
WHEAT RIDGE, CO 80033
Internal Medicine (Infectious Disease)
3885 UPHAM ST, STE 200
WHEAT RIDGE, CO 80033
Internal Medicine (Infectious Disease)
3885 UPHAM ST, STE 200
WHEAT RIDGE, CO 80033
Internal Medicine (Infectious Disease)
3885 UPHAM ST, SUITE 200
WHEAT RIDGE, CO 80033
Internal Medicine (Infectious Disease)
3885 UPHAM ST, STE 200
WHEAT RIDGE, CO 80033
Nurse Practitioner (Gerontology)
3885 UPHAM ST
WHEAT RIDGE, CO 80033
Internal Medicine (Infectious Disease)
3885 UPHAM ST, SUITE 200
WHEAT RIDGE, CO 80033

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 Sonali Hemachandra's NPI number?

The NPI number for Sonali Hemachandra is 1063578516. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Sonali Hemachandra located?

Sonali Hemachandra practices at 3885 Upham St Suite 200, Wheat Ridge, CO 80033. The listed phone number is (303) 425-9245.

What is Sonali Hemachandra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sonali Hemachandra enrolled in Medicare?

Yes. Sonali Hemachandra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sonali Hemachandra was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.