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SONAM KUMARI NIHALANI MD
NPI 1306466438
Internal Medicine in Edison, NJ

Active since April 18, 2020PECOS EnrolledAccepts Medicare Assignment
1740 OAK TREE RD STE B, EDISON, NJ 08820(732) 515-5590(732) 515-5580 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2026, Dec 4, 2025, May 13, 2024 and 2 more (5 updates tracked since 2020).

About Sonam Kumari Nihalani Md NPPES

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

SONAM KUMARI NIHALANI MD (NPI 1306466438) is an individual internal medicine provider in Edison, New Jersey, licensed in New Jersey (25MA12112400) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1306466438
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSONAM KUMARI NIHALANICredential: MD
Location Address1740 OAK TREE RD STE BEdison, NJ 08820-2847
Mailing Address1740 Oak Tree Rd Ste BEdison, NJ 08820-2847 · (732) 515-5590 · Fax (732) 515-5580
Phone(732) 515-5590
Fax(732) 515-5580
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 18, 2020
Last NPPES UpdateJanuary 22, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1306466438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA12112400
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.
1740 OAK TREE RD STE B, Edison, NJ 08820
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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 Kumari Nihalani 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.

PECOS PAC ID3072055334
PECOS Enrollment IDI20240603001879
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

2

Medicare enrollment records show Sonam Kumari Nihalani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Medical Care Of New Jersey PC
37 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811
Advocare, LLC
56 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

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 08820 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES

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

SALVANA SINGH APN
Nurse Practitioner (Acute Care)
1740 OAK TREE RD STE B
EDISON, NJ 08820
Middlesex County (732) 494-5000

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 Kumari Nihalani's NPI number?

The NPI number for Sonam Kumari Nihalani is 1306466438. It was assigned to this individual provider in the NPPES registry on April 18, 2020.

Where is Sonam Kumari Nihalani located?

Sonam Kumari Nihalani practices at 1740 Oak Tree Rd Ste B, Edison, NJ 08820. The listed phone number is (732) 515-5590.

What is Sonam Kumari Nihalani's specialty?

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

Is Sonam Kumari Nihalani enrolled in Medicare?

Yes. Sonam Kumari Nihalani 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 Sonam Kumari Nihalani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonam Kumari Nihalani reassigns Medicare benefits to 2 organizations: Optum Medical Care Of New Jersey PC (New Hyde Park, NY) and Advocare, LLC (Marlton, NJ). 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 Sonam Kumari Nihalani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sonam Kumari Nihalani was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.