SONAM DODHIA MD
NPI 1285130302
Otolaryngology in Waterloo, IA
About Sonam Dodhia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONAM DODHIA MD (NPI 1285130302) is an individual otolaryngology provider in Waterloo, Iowa, licensed in Iowa (MD-53131) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Sartori Memorial Hospital, Inc, and maintains a secondary practice location in Cedar Falls.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
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
Sonam Dodhia 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.
Medicare Billing Reassignment
Medicare enrollment records show Sonam Dodhia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waterloo, IA 50702
- Reassigned Medicare billing, Iowa enrollment
- 271 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sartori Memorial Hospital, Inc
Acute Care Hospitals · Cedar Falls, IAMercyone Waterloo Medical Center
Acute Care Hospitals · Waterloo, IAAllen Hospital
Acute Care Hospitals · Waterloo, IAMercyone Oelwein Medical Center
Critical Access Hospitals · Oelwein, IAWaverly Health Center
Critical Access Hospitals · Waverly, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50702 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERLOO, IA 50702
WATERLOO, IA 50702
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 Sonam Dodhia's NPI number?
The NPI number for Sonam Dodhia is 1285130302. It was assigned to this individual provider in the NPPES registry on April 5, 2018.
Where is Sonam Dodhia located?
Sonam Dodhia practices at 2710 Saint Francis Dr Ste 411, Waterloo, IA 50702. The listed phone number is (319) 272-5000.
What is Sonam Dodhia's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Sonam Dodhia enrolled in Medicare?
Yes. Sonam Dodhia 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 organization bills Medicare for Sonam Dodhia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonam Dodhia reassigns Medicare benefits to Covenant Medical Center Inc (Waterloo, IA). 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 Sonam Dodhia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sonam Dodhia accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Sonam Dodhia 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 Sonam Dodhia affiliated with any hospitals?
According to CMS data, Sonam Dodhia is affiliated with Sartori Memorial Hospital, Inc, Mercyone Waterloo Medical Center, Allen Hospital, Mercyone Oelwein Medical Center and Waverly Health Center.
When was this NPI record last updated?
The NPPES record for Sonam Dodhia was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Sonam Dodhia, MD · NPI 1285130302
Otolaryngology physician in Waterloo, Iowa. Individual provider, active in the CMS NPPES registry since April 5, 2018.
## Identity
- **NPI:** 1285130302 (Entity type: Individual)
- **Enumerated:** April 5, 2018
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** MD-53131 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2710 SAINT FRANCIS DR STE 411, Waterloo, IA 50702-5634
- **Phone:** (319) 272-5000 · **Fax:** (319) 272-5825
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Covenant Medical Center Inc (NPI 1528009545, Waterloo, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 2018
## Record status
- **NPPES last updated:** April 23, 2025
- **Other identifiers:** Medicaid 0515109 (IA); Medicaid 1515109 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285130302) · Data from the CMS NPPES public registry.