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SONIA PRISCILA RODAS MARQUEZ MD
NPI 1154772333
Pediatrics in Huntsville, AL

Active since June 28, 2016PECOS Enrolled
920 FRANKLIN ST SE, HUNTSVILLE, AL 35801(256) 265-1770(256) 265-1761 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2022, Jun 28, 2016 (2 updates tracked since 2016).

About Sonia Priscila Rodas Marquez Md NPPES

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

SONIA PRISCILA RODAS MARQUEZ MD (NPI 1154772333) is an individual pediatrics provider in Huntsville, Alabama, licensed in Alabama (44231) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154772333
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSONIA PRISCILA RODAS MARQUEZCredential: MD
Location Address920 FRANKLIN ST SEHuntsville, AL 35801-4312
Mailing AddressPo Box 21007Huntsville, AL 35813-5007 · (256) 801-6049 · Fax (256) 801-6218
Phone(256) 265-1770
Fax(256) 265-1761
Sole ProprietorYes
Enumeration DateJune 28, 2016
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1154772333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 44231
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.
920 FRANKLIN ST SE, Huntsville, AL 35801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonia Priscila Rodas Marquez 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.

Medicare Billing Reassignment

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

Hh Physicians Network
0.2 mi
Specialist
101 SIVLEY RD SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 182 clinicians in this Medicare group
NPI 1891359683 (256) 801-6036

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 35801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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

ZEINAB ZORKOT MD
Pediatrics
920 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Madison County (562) 651-7702

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 Rodas Marquez's NPI number?

The NPI number for Sonia Rodas Marquez is 1154772333. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Sonia Rodas Marquez located?

Sonia Rodas Marquez practices at 920 Franklin St SE, Huntsville, AL 35801. The listed phone number is (256) 265-1770.

What is Sonia Rodas Marquez's specialty?

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

Is Sonia Rodas Marquez enrolled in Medicare?

Yes. Sonia Rodas Marquez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sonia Rodas Marquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Rodas Marquez reassigns Medicare benefits to Hh Physicians Network (Huntsville, AL). 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 Rodas Marquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Rodas Marquez accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and BlueCross BlueShield of Tennessee and 1 other insurer list Sonia Rodas Marquez 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 Rodas Marquez was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.