ANURAG SONI MD
NPI 1215924816
Internal Medicine - Gastroenterology in Madison, WI

Q: What is Anurag Soni's NPI number?

The NPI number for Anurag Soni is 1215924816. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Q: What is Anurag Soni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Anurag Soni was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment

451 JUNCTION RD, MADISON, WI 53717(608) 265-8528(608) 263-8474 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Anurag Soni Md NPPES

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

ANURAG SONI MD (NPI 1215924816) is an individual gastroenterology provider in Madison, Wisconsin, licensed in Wisconsin (51086) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1215924816

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameANURAG SONICredential: MD

Location Address451 JUNCTION RDMadison, WI 53717-2656

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 265-8528

Fax(608) 263-8474

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateSeptember 29, 2005

Last NPPES UpdateJanuary 28, 2021

NPPES CertifiedJanuary 28, 2021

✔ NPI 1215924816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in WI · 51086

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

451 JUNCTION RD, Madison, WI 53717

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Anurag Soni 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 ID1759345218

PECOS Enrollment IDI20080114000006

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.

Areas of Expertise CMS Part B claims 14

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

115 services115 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

99 services99 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

57 services51 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

33 services33 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

30 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services20 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

20 services19 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.

20 services20 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

17 services17 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

16 services16 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

15 services14 patients

Biopsy of large bowel using a flexible endoscope 45380

15 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

13 services13 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520089

Location202 S Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

MRS. TERESA LYNN WOLFE PA

Physician Assistant (Medical)

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7670

DR. MARIAH A. QUINN M.D.

Internal Medicine

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7550

DR. YEW-XIN TEH MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 263-5010

ABIGAIL M BALES MD

Internal Medicine

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-1600

UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Pharmacy

451 JUNCTION RD, SUITE 9901, ROOM 1191
MADISON, WI 53717

Dane County (608) 265-7070

ANNA HABERMEYER CNM

Nurse Practitioner

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7601

MRS. SHERRY XIONG NP

Nurse Practitioner

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 263-7577

DANIELA C CONSTANTINESCU MD

Internal Medicine

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7550

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 Anurag Soni's NPI number?

The NPI number for Anurag Soni is 1215924816. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Anurag Soni located?

Anurag Soni practices at 451 Junction Rd, Madison, WI 53717. The listed phone number is (608) 265-8528.

What is Anurag Soni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Anurag Soni enrolled in Medicare?

Yes. Anurag Soni 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 Anurag Soni accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Anurag Soni 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 Anurag Soni affiliated with any hospitals?

According to CMS data, Anurag Soni is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Anurag Soni was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.