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SONIA C MEHTA M.D.
NPI 1265459895
Internal Medicine in Crystal Lake, IL

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
360 STATION DR, CRYSTAL LAKE, IL 60014(815) 338-6600(815) 455-8044 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2018, Mar 17, 2018, Aug 1, 2017 (3 updates tracked since 2017).

About Sonia C Mehta M.d. NPPES

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

SONIA C MEHTA M.D. (NPI 1265459895) is an individual internal medicine provider in Crystal Lake, Illinois, licensed in Illinois (036089016) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1265459895
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSONIA C MEHTACredential: M.D.
Location Address360 STATION DRCrystal Lake, IL 60014
Mailing Address360 Station DrCrystal Lake, IL 60014-7978 · (815) 338-6600 · Fax (815) 455-8044
Phone(815) 338-6600
Fax(815) 455-8044
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 19, 20183 updates tracked since enumeration
✔ NPI 1265459895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036089016
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036-089016 (IL), 37485 (WI), C50678 (CA)
360 STATION DR, Crystal Lake, IL 60014
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1800 W CentralArlington Heights, IL 60005-6591 · Phone (847) 459-6100
Location 210350 Haligus RdHuntley, IL 60142-9545 · Phone (815) 338-6600 · Fax (815) 455-8044
Location 31925 Huntley RdWest Dundee, IL 60118-9301 · Phone (815) 338-6600 · Fax (847) 426-5162
Location 42507 N Richmond RdMcHenry, IL 60051-5407 · Phone (815) 338-6600 · Fax (815) 385-3255

Other Identifiers 1

Other036089016IL · State License

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 C Mehta M.d. 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 ID6507835436
PECOS Enrollment IDI20040928000774
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 3

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 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.
21 services21 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

SANDRA JAESCHKE CNP
Nurse Practitioner
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600
MRS. JENNA T WINSKO ANP-BC
Nurse Practitioner (Adult Health)
360 STATION DR, SUITE 120
CRYSTAL LAKE, IL 60014
McHenry County (815) 477-8900
MARIA JUANITA AVINA RN
Registered Nurse (Diabetes Educator)
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-2382
CHRISTOPHER M NORTHERN PA
Physician Assistant
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-2330
KATHLEEN L KRETCHMER R.N., C.D.E
Registered Nurse (Diabetes Educator)
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600
NIRAL B PATEL M.D.
Family Medicine
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600
YANBING LI M.D.
Family Medicine
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600
CHILDREN'S PHYSICIAN GROUP
Pediatrics (Pediatric Cardiology)
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600

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 Mehta's NPI number?

The NPI number for Sonia Mehta is 1265459895. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Sonia Mehta located?

Sonia Mehta practices at 360 Station Dr, Crystal Lake, IL 60014. The listed phone number is (815) 338-6600.

What is Sonia Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sonia Mehta enrolled in Medicare?

Yes. Sonia Mehta 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.

Is Sonia Mehta affiliated with any hospitals?

According to CMS data, Sonia Mehta is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Mehta was last updated on October 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.