SONYA R TOLANI M.D.
NPI 1215986997
Internal Medicine in Lisle, IL

Q: What is Sonya Tolani's NPI number?

The NPI number for Sonya Tolani is 1215986997. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Sonya Tolani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sonya Tolani was last updated on August 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment

430 WARRENVILLE RD, 210, LISLE, IL 60532(630) 432-6180 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 28, 2023, Jul 16, 2022, Feb 10, 2021 and 1 more (4 updates tracked since 2020).

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About Sonya R Tolani M.d. NPPES

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

SONYA R TOLANI M.D. (NPI 1215986997) is an individual internal medicine provider in Lisle, Illinois, licensed in Illinois (036104892) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1215986997

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSONYA R TOLANICredential: M.D.

Location Address430 WARRENVILLE RD, 210Lisle, IL 60532

Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200

Phone(630) 432-6180

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateMay 9, 2006

Last NPPES UpdateAugust 28, 20234 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1215986997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036104892

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

430 WARRENVILLE RD, Lisle, IL 60532

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Other Identifiers 1

Medicaid036104892IL

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

Sonya R Tolani M.d. 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 ID547229031

PECOS Enrollment IDI20041008001297

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.

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.

84 services69 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

81 services56 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.

65 services60 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

48 services43 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

37 services33 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

30 services24 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

27 services27 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

26 services16 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

21 services21 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

19 services14 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

19 services19 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

17 services13 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Edward Hospital

Acute Care Hospitals · Naperville, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140231

Location801 South WashingtonNaperville, IL 60540 · Du Page County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60532 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

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.

Reported Quality Measures

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

Patients 65+: 100% · 34 patients

100%35 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

DR. ANAND P SHAH M.D.

Radiology (Therapeutic Radiology)

430 WARRENVILLE RD
LISLE, IL 60532

Dupage County (630) 432-6745

ALONDRA GARCIA LCSW

Social Worker

430 WARRENVILLE RD
LISLE, IL 60532

Dupage County (630) 432-6745

KIMBERLY MURPHY M.D.

Emergency Medicine

430 WARRENVILLE RD, STE 230
LISLE, IL 60532

Dupage County (630) 432-6200

EMMA SERVATIUS

Nurse Practitioner

430 WARRENVILLE RD
LISLE, IL 60532

Dupage County (630) 469-9200

ERIC CLYMER DO

Emergency Medicine

430 WARRENVILLE RD, 230
LISLE, IL 60532

Dupage County (630) 432-6200

SARAH RAMSLAND APN, CNP

Nurse Practitioner

430 WARRENVILLE RD
LISLE, IL 60532

Dupage County (630) 286-5085

DR. AREN DEVLIN JIMENEZ M.D.

Emergency Medicine

430 WARRENVILLE RD, IMMEDIATE CARE CENTER
LISLE, IL 60532

Dupage County (630) 469-9200

ASHLEY MARIE HOFFMAN DPT

Physical Therapist

430 WARRENVILLE RD
LISLE, IL 60532

Dupage County (630) 469-9200

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 Sonya Tolani's NPI number?

The NPI number for Sonya Tolani is 1215986997. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Sonya Tolani located?

Sonya Tolani practices at 430 Warrenville Rd 210, Lisle, IL 60532. The listed phone number is (630) 432-6180.

What is Sonya Tolani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sonya Tolani enrolled in Medicare?

Yes. Sonya Tolani 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.

Is Sonya Tolani affiliated with any hospitals?

According to CMS data, Sonya Tolani is affiliated with Edward Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Sonya Tolani was last updated on August 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.