SONIA BAJAJ MD
NPI 1255327789
Internal Medicine - Rheumatology in Crowley, TX

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
795 E FM 1187 STE A, CROWLEY, TX 76036(817) 293-9631(817) 293-9681 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2023, May 10, 2021 (2 updates tracked since 2021).

About Sonia Bajaj Md NPPES

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

SONIA BAJAJ MD (NPI 1255327789) is an individual rheumatology provider in Crowley, Texas, licensed in Texas (M7021) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Glen Rose Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1255327789
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSONIA BAJAJCredential: MD
Location Address795 E FM 1187 STE ACrowley, TX 76036-4346
Mailing AddressPo Box 6278, Attn: Hma AdministrationFort Worth, TX 76115-0278 · (817) 568-4556 · Fax (817) 568-5474
Fax(817) 293-9681
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
NPI 1255327789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · M7021
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
795 E FM 1187 STE A, Crowley, TX 76036

Other Identifiers 2

OtherM7021TX · Texas Medical License
Medicaid1255327789TX

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

Sonia Bajaj 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 ID4880589761
PECOS Enrollment IDI20071218000153
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 5

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.
597 services317 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 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.
40 services31 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
23 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Glen Rose Medical Center

Acute Care Hospitals · Glen Rose, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450451
Location1021 Holden StreetGlen Rose, TX 76043 · Somervell County
Emergency services

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76036 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.81
Promoting Interoperability100
Improvement Activities40
Cost72.88

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 Sonia Bajaj's NPI number?

The NPI number for Sonia Bajaj is 1255327789. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Sonia Bajaj located?

Sonia Bajaj practices at 795 E Fm 1187 Ste A, Crowley, TX 76036. The listed phone number is (817) 293-9631.

What is Sonia Bajaj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sonia Bajaj enrolled in Medicare?

Yes. Sonia Bajaj 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 Sonia Bajaj 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 2 other insurers list Sonia Bajaj 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 Sonia Bajaj affiliated with any hospitals?

According to CMS data, Sonia Bajaj is affiliated with Glen Rose Medical Center and Texas Health Huguley Hospital Fort Worth South.

When was this NPI record last updated?

The NPPES record for Sonia Bajaj was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.