DR. SONALI NARAIN MD
NPI 1124250287
Internal Medicine - Rheumatology in Great Neck, NY

Active since August 21, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
865 NORTHERN BLVD, SUITE 302, GREAT NECK, NY 11021(516) 708-2550 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sonali Narain Md NPPES

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

DR. SONALI NARAIN MD (NPI 1124250287) is an individual rheumatology provider in Great Neck, New York, licensed in New York (274467) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1124250287
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SONALI NARAINCredential: MD
Location Address865 NORTHERN BLVD, SUITE 302Great Neck, NY 11021-5335
Mailing Address865 Northern Blvd Ste 302Great Neck, NY 11021-5310 · (516) 708-2522 · Fax (516) 708-2597
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 21, 2009
Last NPPES UpdateOctober 13, 2015
NPI 1124250287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 274467
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 240819 (MA)
865 NORTHERN BLVD, Great Neck, NY 11021

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

Dr. Sonali Narain Md 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 ID7618279381
PECOS Enrollment IDI20160112002713
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 9

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.
157 services80 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services23 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Obstetrics & Gynecology
865 NORTHERN BLVD, SUITE 202
GREAT NECK, NY 11021
Nurse Practitioner (Women's Health)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
865 NORTHERN BLVD, 203
GREAT NECK, NY 11021
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Obstetrics & Gynecology (Maternal & Fetal Medicine)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Student in an Organized Health Care Education/Training Program
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine
865 NORTHERN BLVD
GREAT NECK, NY 11021

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 Narain's NPI number?

The NPI number for Sonali Narain is 1124250287. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Where is Sonali Narain located?

Sonali Narain practices at 865 Northern Blvd Suite 302, Great Neck, NY 11021. The listed phone number is (516) 708-2550.

What is Sonali Narain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sonali Narain enrolled in Medicare?

Yes. Sonali Narain 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.

Is Sonali Narain affiliated with any hospitals?

According to CMS data, Sonali Narain is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Sonali Narain was last updated on October 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.