JALPA SHIVAM SONI MD
NPI 1235767187
Family Medicine in Centerville, OH
About Jalpa Shivam Soni Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JALPA SHIVAM SONI MD (NPI 1235767187) is an individual family medicine provider in Centerville, Ohio, licensed in Ohio (35.148960) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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
Jalpa Shivam 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.
Medicare Billing Reassignment
Medicare enrollment records show Jalpa Soni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Centerville, OH 45459
- Reassigned Medicare billing, Ohio enrollment
- 364 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Main Campus
Acute Care Hospitals · Kettering, OHKettering Health Dayton
Acute Care Hospitals · Dayton, OHKettering Health Miamisburg
Acute Care Hospitals · Miamisburg, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jalpa Soni's NPI number?
The NPI number for Jalpa Soni is 1235767187. It was assigned to this individual provider in the NPPES registry on March 27, 2020. The provider is also known as Jalpa Mayur Shah.
Where is Jalpa Soni located?
Jalpa Soni practices at 6438 Wilmington Pike Ste 100, Centerville, OH 45459. The listed phone number is (937) 558-3840.
What is Jalpa Soni's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jalpa Soni enrolled in Medicare?
Yes. Jalpa 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.
Which organization bills Medicare for Jalpa Soni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jalpa Soni reassigns Medicare benefits to Alliance Physicians Inc (Centerville, OH). 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 Jalpa Soni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jalpa Soni accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Jalpa 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 Jalpa Soni affiliated with any hospitals?
According to CMS data, Jalpa Soni is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.
When was this NPI record last updated?
The NPPES record for Jalpa Soni was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jalpa Shivam Soni, MD · NPI 1235767187
Family Medicine physician in Centerville, Ohio. Individual provider, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1235767187 (Entity type: Individual)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35.148960 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6438 WILMINGTON PIKE STE 100, Centerville, OH 45459-7021
- **Phone:** (937) 558-3840
## 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:** Alliance Physicians Inc (NPI 1770831729, Centerville, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235767187) · Data from the CMS NPPES public registry.