KAUSHAL SONDARWA MD
NPI 1225397250
Internal Medicine - Nephrology in San Angelo, TX

Active since May 11, 2012PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
220 E. HARRIS, SAN ANGELO, TX 76903(325) 658-1511 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2018, Jul 11, 2017 (2 updates tracked since 2017).

About Kaushal Sondarwa Md NPPES

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

KAUSHAL SONDARWA MD (NPI 1225397250) is an individual nephrology provider in San Angelo, Texas, licensed in Texas (R3220) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1225397250
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKAUSHAL SONDARWACredential: MD
Location Address220 E. HARRISSan Angelo, TX 76903
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 481-2291 · Fax (325) 481-2280
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 11, 2012
Last NPPES UpdateNovember 19, 20182 updates tracked since enumeration
NPI 1225397250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · R3220
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
220 E. HARRIS, San Angelo, TX 76903

Other Identifiers 1

OtherR3220TX · Tx License

Accepted 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

Kaushal Sondarwa 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 ID8426329020
PECOS Enrollment IDI20170731003115
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 15

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.

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.
527 services206 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.
356 services229 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.
297 services98 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
156 services24 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
147 services54 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
88 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Kimble Hospital

Critical Access Hospitals · Junction, TX
OwnershipProprietary
CMS Certification Number451306
Location349 Reid RoadJunction, TX 76849 · Kimble County
Emergency services

Ballinger Memorial Hospital

Critical Access Hospitals · Ballinger, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451310
Location608 Avenue BBallinger, TX 76821 · Runnels County
Emergency services

Heart Of Texas Memorial Hospital

Critical Access Hospitals · Brady, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451348
Location2008 Nine RoadBrady, TX 76825 · Mc Culloch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers34 claims2,760 services$0.28 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims2,160 services$0.17 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers34 claims34 services$17.44 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers24 claims24 services$11.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Women's Health)
220 E. HARRIS
SAN ANGELO, TX 76903
Internal Medicine
220 E. HARRIS
SAN ANGELO, TX 76903
Advanced Practice Midwife
220 E. HARRIS
SAN ANGELO, TX 76903
Internal Medicine (Nephrology)
220 E. HARRIS
SAN ANGELO, TX 76903
Family Medicine
220 E. HARRIS
SAN ANGELO, TX 76903
Family Medicine
220 E. HARRIS
SAN ANGELO, TX 76903
Advanced Practice Midwife
220 E. HARRIS
SAN ANGELO, TX 76903
Dermatology
220 E. HARRIS
SAN ANGELO, TX 76903

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 Kaushal Sondarwa's NPI number?

The NPI number for Kaushal Sondarwa is 1225397250. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Where is Kaushal Sondarwa located?

Kaushal Sondarwa practices at 220 E. Harris, San Angelo, TX 76903. The listed phone number is (325) 658-1511.

What is Kaushal Sondarwa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kaushal Sondarwa enrolled in Medicare?

Yes. Kaushal Sondarwa 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 Kaushal Sondarwa accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kaushal Sondarwa 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 Kaushal Sondarwa affiliated with any hospitals?

According to CMS data, Kaushal Sondarwa is affiliated with Shannon Medical Center, Hendrick Medical Center Brownwood, Kimble Hospital, Ballinger Memorial Hospital and Heart Of Texas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kaushal Sondarwa was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.