SIDRA SOHAIL MD
NPI 1205326568
Family Medicine in Nutley, NJ
About Sidra Sohail Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIDRA SOHAIL MD (NPI 1205326568) is an individual family medicine provider in Nutley, New Jersey, licensed in New Jersey (25MA11191700) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Sidra Sohail 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sidra Sohail reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paterson, NJ 07503
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Josephs Healthcare Inc
- 372 clinicians in this Medicare group
Paterson, NJ 07503
- Reassigned Medicare billing, New Jersey enrollment
- 317 clinicians in this Medicare group
Paterson, NJ 07503
- Reassigned Medicare billing, New Jersey enrollment
- 27 clinicians in this Medicare group
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 07110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NUTLEY, NJ 07110
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 Sidra Sohail's NPI number?
The NPI number for Sidra Sohail is 1205326568. It was assigned to this individual provider in the NPPES registry on May 12, 2018.
Where is Sidra Sohail located?
Sidra Sohail practices at 181 Franklin Ave, Nutley, NJ 07110. The listed phone number is (973) 389-5292.
What is Sidra Sohail's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sidra Sohail enrolled in Medicare?
Yes. Sidra Sohail 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 Sidra Sohail's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sidra Sohail reassigns Medicare benefits to 3 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ), St Josephs Medical Group PC (Paterson, NJ) and St. Josephs Physicians Healthcare Group Inc (Paterson, 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 Sidra Sohail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sidra Sohail accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sidra Sohail 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 Sidra Sohail was last updated on December 3, 2021. 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.
# Sidra Sohail, MD · NPI 1205326568
Family Medicine physician in Nutley, New Jersey. Individual provider, active in the CMS NPPES registry since May 12, 2018.
## Identity
- **NPI:** 1205326568 (Entity type: Individual)
- **Enumerated:** May 12, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MA11191700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 181 FRANKLIN AVE, Nutley, NJ 07110-3820
- **Phone:** (973) 389-5292
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Joseph's Healthcare, Inc. (NPI 1497791297, Paterson, NJ); St Josephs Medical Group PC (NPI 1205425519, Paterson, NJ); St. Josephs Physicians Healthcare Group Inc (NPI 1033410907, Paterson, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** December 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205326568) · Data from the CMS NPPES public registry.