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SOFIA CANDEL
NPI 1194251686
Obstetrics & Gynecology in Towson, MD

Active since May 03, 2017PECOS EnrolledAccepts Medicare Assignment
52.15/100
CMS Quality Rating
7801 YORK RD STE 135, TOWSON, MD 21204(410) 339-7447(410) 339-3684 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sofia Candel NPPES

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

SOFIA CANDEL (NPI 1194251686) is an individual obstetrics & gynecology provider in Towson, Maryland, licensed in Maryland (D0092073) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Southern Illinois University School Of Medicine (2017).

NPPES Registry Identity

NPI1194251686
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSOFIA CANDEL
Location Address7801 YORK RD STE 135Towson, MD 21204-7446
Mailing Address8110 Maple Lawn Blvd Ste 235Fulton, MD 20759-2694 · (301) 340-8339 · Fax (301) 576-7208
Phone(410) 339-7447
Fax(410) 339-3684
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2017
Enumeration DateMay 3, 2017
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1194251686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MD · D0092073
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7801 YORK RD STE 135, Towson, MD 21204
Open in Google Maps ↗

Secondary Practice Locations 3

Location 110801 Lockwood Dr Ste 290Silver Spring, MD 20901-1559 · Phone (301) 593-5595 · Fax (301) 754-0947
Location 22301 Research Blvd Ste 215Rockville, MD 20850-3293 · Phone (301) 424-3444 · Fax (301) 926-0655
Location 32103 Laurel Bush Rd Ste BBel Air, MD 21015-6191 · Phone (410) 515-6557 · Fax (410) 515-6552

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

Sofia Candel 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 ID8123397361
PECOS Enrollment IDI20211222000838
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 Sofia Candel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Women's Care, L.L.C.
23 mi
Obstetrics & Gynecology
8110 MAPLE LAWN BLVD STE 235
Fulton, MD 20759
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Capital Womens Care LLC
  • 167 clinicians in this Medicare group
NPI 1679534069 (301) 340-8339

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 2

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
31 services21 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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.

52.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality14.28
Promoting Interoperability67
Improvement Activities40
Cost53.74

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 Sofia Candel's NPI number?

The NPI number for Sofia Candel is 1194251686. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Sofia Candel located?

Sofia Candel practices at 7801 York Rd Ste 135, Towson, MD 21204. The listed phone number is (410) 339-7447.

What is Sofia Candel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sofia Candel enrolled in Medicare?

Yes. Sofia Candel 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 organization bills Medicare for Sofia Candel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Candel reassigns Medicare benefits to Capital Women's Care, L.L.C. (Fulton, MD). 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 Sofia Candel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sofia Candel was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.