SONJAI BHATIA M.D.
NPI 1336121037
Internal Medicine - Cardiovascular Disease in Naples, FL

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
625 TAMIAMI TRL N STE 201, NAPLES, FL 34102(239) 261-2000 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2025, Mar 2, 2023 (2 updates tracked since 2023).

About Sonjai Bhatia M.d. NPPES

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

SONJAI BHATIA M.D. (NPI 1336121037) is an individual cardiovascular disease provider in Naples, Florida, licensed in Florida (ME155394) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and maintains a secondary practice location in Englewood.

NPPES Registry Identity

NPI1336121037
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSONJAI BHATIACredential: M.D.
Location Address625 TAMIAMI TRL N STE 201Naples, FL 34102-8143
Mailing Address625 Tamiami Trl N Ste 201Naples, FL 34102-8143 · (239) 261-2000
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1985
Enumeration DateNovember 17, 2005
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1336121037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in FL · ME155394✔ Licensed in IL · 036075188
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
625 TAMIAMI TRL N STE 201, Naples, FL 34102

Secondary Practice Location 1

Location 19000 N Main St Ste 101Englewood, OH 45415-1184 · Phone (937) 832-2425

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

Sonjai Bhatia 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 ID4688576119
PECOS Enrollment IDI20040123000886, I20251217004073
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

8

Medicare enrollment records show Sonjai Bhatia reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
625 9TH ST N # 201
Naples, FL 34102
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
Psychologist
5900 LONG MEADOW DR, SUITE 300
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
Family Medicine
5401 N KNOXVILLE AVE, SUITE 209
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
General Acute Care Hospital
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 268 clinicians in this Medicare group
General Acute Care Hospital
155 E BRUSH HILL RD
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 205 clinicians in this Medicare group
General Acute Care Hospital
25 NORTH WINFIELD RD.
Winfield, IL 60190
  • Reassigned Medicare billing, Illinois enrollment
  • 129 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 9

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,209 services896 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.
337 services137 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
110 services110 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.
108 services106 patients
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.
98 services64 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34102 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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

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

Physician Assistant (Medical)
625 TAMIAMI TRL N STE 201
NAPLES, FL 34102

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 Sonjai Bhatia's NPI number?

The NPI number for Sonjai Bhatia is 1336121037. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Sonjai Bhatia located?

Sonjai Bhatia practices at 625 Tamiami Trl N Ste 201, Naples, FL 34102. The listed phone number is (239) 261-2000.

What is Sonjai Bhatia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sonjai Bhatia enrolled in Medicare?

Yes. Sonjai Bhatia 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 Sonjai Bhatia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonjai Bhatia reassigns Medicare benefits to 8 organizations: Swicft Medical Partners LLC (Naples, FL), Premier Health Specialists Inc (Middletown, OH), Carle Health Medical Group (Urbana, IL), Methodist Medical Center Of Illinois (Peoria, IL), Proctor Health Systems (Peoria, IL) and 3 more organizations, 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 Sonjai Bhatia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonjai Bhatia accept?

Health plans from CareSource and MedMutual list Sonjai Bhatia 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 Sonjai Bhatia affiliated with any hospitals?

According to CMS data, Sonjai Bhatia is affiliated with Proctor Hospital, Pekin Memorial Hospital, Methodist Medical Center Of Illinois and Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Sonjai Bhatia was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.