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DR. MEHUL PRAVIN SONI M.D.
NPI 1265609739
Surgery in Des Plaines, IL

Active since May 13, 2008PECOS EnrolledAccepts Medicare Assignment
380 E NORTHWEST HWY STE 200, DES PLAINES, IL 60016(847) 813-0700 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2025, May 12, 2025, Jan 25, 2022 (3 updates tracked since 2022).

About Dr. Mehul Pravin Soni M.d. NPPES

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

DR. MEHUL PRAVIN SONI M.D. (NPI 1265609739) is an individual surgery provider in Des Plaines, Illinois, licensed in Illinois (036126485) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Elgin, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265609739
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MEHUL PRAVIN SONICredential: M.D.
Location Address380 E NORTHWEST HWY STE 200Des Plaines, IL 60016-2274
Mailing Address380 E Northwest Hwy Ste 200Des Plaines, IL 60016-2274 · (847) 813-0700
Phone(847) 813-0700
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2003
Enumeration DateMay 13, 2008
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1265609739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036126485
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036126485 (IL)
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 036126485 (IL)
380 E NORTHWEST HWY STE 200, Des Plaines, IL 60016
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Secondary Practice Locations 2

Location 13535 E New York St Ste 116Aurora, IL 60504-4468 · Phone (312) 647-3628
Location 22650 Ridge AveEvanston, IL 60201-1700 · Phone (847) 570-1700 · Fax (847) 982-1098

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

Dr. Mehul Pravin Soni 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 ID9830256528
PECOS Enrollment IDI20220628000460
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 Reassignments

6

Medicare enrollment records show Mehul Soni reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arvind Patel M.D.S.C.
Same address
Multi-Specialty
380 E NORTHWEST HWY STE 200
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1174549943 (847) 813-0700
Endeavor Health Medical Group
11 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Central Dupage Physician Group
18 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300
Waukegan Clinic Corp
23 mi
Family Medicine
1324 N SHERIDAN RD
Waukegan, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1306937289 (847) 360-3000
Mehul Soni MD LLC
23 mi
Surgery
163 S RANDALL RD
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
NPI 1942926555 (847) 406-1007
Vital Health Partners LLC
1,193 mi
Hospitalist
6600 COW PEN RD STE 205
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Illinois enrollment
  • 54 clinicians in this Medicare group
NPI 1043101207 (786) 985-3895

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Presence Saint Joseph Hospital - Elgin

Acute Care Hospitals · Elgin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140217
Location77 N Airlite StreetElgin, IL 60123 · Kane County
Emergency services

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60016 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUBURBAN MEDICAL CENTER, S.C
Family Medicine
380 E NORTHWEST HWY STE 200
DES PLAINES, IL 60016
Cook County (847) 382-6870
ARVIND PATEL M.D.S.C.
Clinic/Center (Multi-Specialty)
380 E NORTHWEST HWY STE 200
DES PLAINES, IL 60016
Cook County (847) 813-0700
ARVIND PATEL M.D.S.C.
Clinic/Center
380 E NORTHWEST HWY STE 200
DES PLAINES, IL 60016
Cook County (847) 299-6400
CAMS-ORBISUN COMMUNITY HEALTH
Clinic/Center (Multi-Specialty)
380 E NORTHWEST HWY STE 200
DES PLAINES, IL 60016
Cook County (847) 813-0700
ARVIND PATEL M.D.S.C.
Clinic/Center (Multi-Specialty)
380 E NORTHWEST HWY STE 200
DES PLAINES, IL 60016
Cook County (847) 813-0700
BARIJUVE SURGICAL LLC
Surgery
380 E NORTHWEST HWY STE 200
DES PLAINES, IL 60016
Cook County (847) 669-9900
DES PLAINES COMMUNITY HEALTH CARE CENTER INC
Clinic/Center (Multi-Specialty)
380 E NORTHWEST HWY STE 200
DES PLAINES, IL 60016
Cook County (847) 845-8960

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 Mehul Soni's NPI number?

The NPI number for Mehul Soni is 1265609739. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Mehul Soni located?

Mehul Soni practices at 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016. The listed phone number is (847) 813-0700.

What is Mehul Soni's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mehul Soni enrolled in Medicare?

Yes. Mehul 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 organizations bill Medicare for Mehul Soni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mehul Soni reassigns Medicare benefits to 6 organizations: Arvind Patel M.D.S.C. (Des Plaines, IL), Endeavor Health Medical Group (Evanston, IL), Central Dupage Physician Group (Carol Stream, IL), Waukegan Clinic Corp (Waukegan, IL), Mehul Soni MD LLC (Elgin, IL) and 1 more organization, listed in the Medicare section above. 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 Mehul Soni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mehul Soni affiliated with any hospitals?

According to CMS data, Mehul Soni is affiliated with Presence Saint Joseph Hospital - Elgin, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Mehul Soni was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.