SONAL PATEL DO
NPI 1306378880
Psychiatry & Neurology - Psychiatry in Sarasota, FL

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
78.8/100
CMS Quality Rating
1650 S OSPREY AVE, SARASOTA, FL 34239(941) 917-7760(941) 917-8805 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Nov 11, 2022, Oct 18, 2021 and 1 more (4 updates tracked since 2020).

About Sonal Patel Do NPPES

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

SONAL PATEL DO (NPI 1306378880) is an individual psychiatry provider in Sarasota, Florida, licensed in Florida (17422) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sarasota, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306378880
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSONAL PATELCredential: DO
Location Address1650 S OSPREY AVESarasota, FL 34239-2928
Mailing AddressPo Box 947407Atlanta, GA 30394-7407 · (941) 917-2600 · Fax (941) 917-7884
Fax(941) 917-8805
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
NPI 1306378880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in FL · 17422
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1650 S OSPREY AVE, Sarasota, FL 34239

Secondary Practice Location 1

Location 11700 S Tamiami TrlSarasota, FL 34239-3555 · Phone (941) 917-9000

Other Identifiers 2

OtherOS17422FL · Fl Med Lic
Medicaid112262900FL

Accepted Insurance

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

Sonal Patel Do 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 ID9032483771
PECOS Enrollment IDI20211208002725
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
269 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
267 services90 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services56 patients
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.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

78.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
1650 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Psychiatry)
1650 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1650 S OSPREY AVE
SARASOTA, FL 34239
Nurse Practitioner
1650 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Psychiatry)
1650 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Geriatric Psychiatry)
1650 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Psychiatry)
1650 S OSPREY AVE
SARASOTA, FL 34239
Social Worker (Clinical)
1650 S OSPREY AVE
SARASOTA, FL 34239

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 Sonal Patel's NPI number?

The NPI number for Sonal Patel is 1306378880. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Sonal Patel located?

Sonal Patel practices at 1650 S Osprey Ave, Sarasota, FL 34239. The listed phone number is (941) 917-7760.

What is Sonal Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sonal Patel enrolled in Medicare?

Yes. Sonal Patel 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.

What insurance does Sonal Patel accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Sonal Patel 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 Sonal Patel was last updated on March 7, 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.