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DR. SONIYA G SHAH DO
NPI 1255448445
Pediatrics in Pleasant Prairie, WI

Active since August 24, 2006PECOS Enrolled
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158(262) 857-5000(262) 857-5001 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Apr 6, 2023, Nov 22, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Soniya G Shah Do NPPES

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

DR. SONIYA G SHAH DO (NPI 1255448445) is an individual pediatrics provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (43387) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kenosha.

NPPES Registry Identity

NPI1255448445
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SONIYA G SHAHCredential: DO
Location Address12500 AURORA DRPleasant Prairie, WI 53158-1227
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 857-5000
Fax(262) 857-5001
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 5, 20244 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1255448445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 43387✔ Licensed in IL · 036-102992
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12500 AURORA DR, Pleasant Prairie, WI 53158
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Secondary Practice Location 1

Location 110400 75th StKenosha, WI 53142-8323 · Phone (262) 948-6710 · Fax (262) 948-6780

Other Identifiers 1

Medicaid43491600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Soniya G Shah Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Soniya Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.
32 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

MYA REESE DC
Chiropractor
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 857-5300
MADELINE CLAIRE JERRY
Physical Therapist
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 857-5800
WILLIAM J LYON PT
Physical Therapist
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 857-5000
LAUREN M GEHRIG NP
Nurse Practitioner
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 857-5000
MS. CATHLEEN DENISE FOSTER MS, OTR
Occupational Therapist
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 857-5000
COLLEEN COURTNEY PA-C
Physician Assistant
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 857-5400
STEPHANIE L FREDERICKSON PT, DPT
Physical Therapist
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 857-5000
JEFFREY ALLEN GREENE PA
Physician Assistant
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 857-5000

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 Soniya Shah's NPI number?

The NPI number for Soniya Shah is 1255448445. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Soniya Shah located?

Soniya Shah practices at 12500 Aurora Dr, Pleasant Prairie, WI 53158. The listed phone number is (262) 857-5000.

What is Soniya Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Soniya Shah enrolled in Medicare?

Yes. Soniya Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Soniya Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soniya Shah reassigns Medicare benefits to Aurora Medical Group, Inc. (Milwaukee, WI). 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 Soniya Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soniya Shah accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz and 1 other insurer list Soniya Shah 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.

When was this NPI record last updated?

The NPPES record for Soniya Shah was last updated on August 5, 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.