SONIYA K PAWAR MD
NPI 1255575569
Pediatrics in Menomonee Falls, WI
About Soniya K Pawar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONIYA K PAWAR MD (NPI 1255575569) is an individual pediatrics provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (53012) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Bend.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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 (PECOS)
Soniya K Pawar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Soniya Pawar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MENOMONEE FALLS, WI 53051
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 Pawar's NPI number?
The NPI number for Soniya Pawar is 1255575569. It was assigned to this individual provider in the NPPES registry on April 30, 2009.
Where is Soniya Pawar located?
Soniya Pawar practices at N84w16889 Menomonee Ave, Menomonee Falls, WI 53051. The listed phone number is (262) 251-7500.
What is Soniya Pawar's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Soniya Pawar enrolled in Medicare?
Yes. Soniya Pawar is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Soniya Pawar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soniya Pawar reassigns Medicare benefits to 4 organizations: Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (West Allis, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, WI). Each 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 Pawar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Soniya Pawar accept?
Health plans from CareSource (Common Ground Healthcare) list Soniya Pawar 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 Pawar was last updated on May 16, 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.
# Soniya K Pawar, MD · NPI 1255575569
Pediatrics physician in Menomonee Falls, Wisconsin. Individual provider, active in the CMS NPPES registry since April 30, 2009.
## Identity
- **NPI:** 1255575569 (Entity type: Individual)
- **Enumerated:** April 30, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 53012 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** N84W16889 MENOMONEE AVE, Menomonee Falls, WI 53051-2810
- **Phone:** (262) 251-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI); Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI); Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Lakeshore Medical Clinic, LLC (NPI 1003861188, Saint Francis, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2023
- **Other identifiers:** Medicaid 100003457 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1255575569) · Data from the CMS NPPES public registry.