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SONIA NAIR DO
NPI 1154944965
Family Medicine in Chicago, IL

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
5346 N CLARK ST, CHICAGO, IL 60640(773) 293-8880(773) 293-8843 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2024, May 9, 2022, Mar 30, 2021 and 1 more (4 updates tracked since 2020).

About Sonia Nair Do NPPES

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

SONIA NAIR DO (NPI 1154944965) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036168966) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154944965
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSONIA NAIRCredential: DO
Location Address5346 N CLARK STChicago, IL 60640-2120
Mailing Address5346 N Clark StChicago, IL 60640-2120 · (773) 293-8880 · Fax (773) 293-8843
Phone(773) 293-8880
Fax(773) 293-8843
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 27, 2020
Last NPPES UpdateJuly 26, 20244 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1154944965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036168966
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5346 N CLARK ST, Chicago, IL 60640
Open in Google Maps ↗

Accepted Insurance

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

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

Sonia Nair Do 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 ID6305382425
PECOS Enrollment IDI20240725001935
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.

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 6

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

SYLVEENA E. ALI DO
Family Medicine
5346 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 293-8880
DR. EMILY M LEUVOY MD
Family Medicine
5346 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 293-8880
TYLER SAUNDERS DO
Internal Medicine
5346 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 293-8880
MS. KRISTIN A DOLLING M.D.
Obstetrics & Gynecology
5346 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 293-8880
BRIAN JAMES STOJAK M.D.
Family Medicine
5346 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 293-8880
MRS. TATIANA A BATISTA DO
Family Medicine
5346 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 293-8880

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 Nair's NPI number?

The NPI number for Sonia Nair is 1154944965. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Sonia Nair located?

Sonia Nair practices at 5346 N Clark St, Chicago, IL 60640. The listed phone number is (773) 293-8880.

What is Sonia Nair's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sonia Nair enrolled in Medicare?

Yes. Sonia Nair 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.

What insurance does Sonia Nair accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sonia Nair 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 Sonia Nair affiliated with any hospitals?

According to CMS data, Sonia Nair is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Nair was last updated on July 26, 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.