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CHARLES SONALIYA MD
NPI 1124606926
Internal Medicine in Millville, NJ

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment
2148 N 2ND STE, STE A, MILLVILLE, NJ 08332(856) 641-6272(856) 327-6588 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, Apr 1, 2021 (2 updates tracked since 2021).

About Charles Sonaliya Md NPPES

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

CHARLES SONALIYA MD (NPI 1124606926) is an individual internal medicine provider in Millville, New Jersey, licensed in New Jersey (25MA12247100) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Vineland.

NPPES Registry Identity

NPI1124606926
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES SONALIYACredential: MD
Location Address2148 N 2ND STE, STE AMillville, NJ 08332
Mailing Address134 Bridgeton Pike Ste CMullica Hill, NJ 08062-2616 · (856) 507-2783 · Fax (856) 221-4138
Phone(856) 641-6272
Fax(856) 327-6588
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 1, 2021
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1124606926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA12247100
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2148 N 2ND STE, STE A, Millville, NJ 08332
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Secondary Practice Location 1

Location 11505 W Sherman AveVineland, NJ 08360-7059 · Phone (856) 641-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Charles Sonaliya 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 ID2567902125
PECOS Enrollment IDI20240910001631
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 Reassignments

2

Medicare enrollment records show Charles Sonaliya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inspira Health Network Medical Group, P.C.
25 mi
Multi-Specialty
1120 DELSEA DR N
Glassboro, NJ 08028
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Inspira Health Network Medical Group PC
  • 258 clinicians in this Medicare group
NPI 1922177856 (856) 507-2783
Tri-County Health Connections PC
25 mi
Multi-Specialty
1120 DELSEA DR N
Glassboro, NJ 08028
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
NPI 1124660501 (856) 205-7071

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.

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.
82 services30 patients
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.
52 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 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.
19 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08332 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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 Charles Sonaliya's NPI number?

The NPI number for Charles Sonaliya is 1124606926. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Charles Sonaliya located?

Charles Sonaliya practices at 2148 N 2nd Ste, Ste A, Millville, NJ 08332. The listed phone number is (856) 641-6272.

What is Charles Sonaliya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Sonaliya enrolled in Medicare?

Yes. Charles Sonaliya 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 organizations bill Medicare for Charles Sonaliya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Sonaliya reassigns Medicare benefits to 2 organizations: Inspira Health Network Medical Group, P.C. (Glassboro, NJ) and Tri-County Health Connections PC (Glassboro, NJ). Each 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 Charles Sonaliya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Sonaliya accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Charles Sonaliya 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.

Is Charles Sonaliya affiliated with any hospitals?

According to CMS data, Charles Sonaliya is affiliated with Cooper University Hospital, Inspira Medical Center Vineland and Inspira Medical Center Mullica Hill.

When was this NPI record last updated?

The NPPES record for Charles Sonaliya was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.