SONAL R. PATEL MD
NPI 1336344357
Family Medicine in Mansfield, MA

Q: What is Sonal Patel's NPI number?

The NPI number for Sonal Patel is 1336344357. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Q: What is Sonal Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sonal Patel was last updated on September 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

200 COPELAND DR, MANSFIELD, MA 02048(508) 339-4144(508) 342-1929 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2023, Apr 28, 2021, Dec 29, 2015 and 1 more (4 updates tracked since 2015).

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About Sonal R. Patel Md NPPES

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

SONAL R. PATEL MD (NPI 1336344357) is an individual family medicine provider in Mansfield, Massachusetts, licensed in Massachusetts (1013132) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336344357

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSONAL R. PATELCredential: MD

Location Address200 COPELAND DRMansfield, MA 02048-1225

Mailing Address200 Copeland DrMansfield, MA 02048-1225 · (508) 339-4144 · Fax (508) 342-1929

Phone(508) 339-4144

Fax(508) 342-1929

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 19, 2007

Last NPPES UpdateSeptember 21, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2023

✔ NPI 1336344357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MA · 1013132✔ Licensed in RI · MD13028

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 COPELAND DR, Mansfield, MA 02048

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Secondary Practice Locations 2

Location 11 Warren WayProvidence, RI 02905-5000 · Phone (401) 444-0530 · Fax (401) 444-0423

Location 2239 Cranston StProvidence, RI 02907-2406 · Phone (401) 444-0580 · Fax (401) 444-0428

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 R. Patel 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 ID4688720873

PECOS Enrollment IDI20230928002975

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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

364 services208 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

114 services114 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

67 services59 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

36 services36 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

32 services32 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

26 services26 patients

Hospital Affiliations CMS Care Compare

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220008

Location211 Park StreetAttleboro, MA 02703 · Bristol County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02048 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 17

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

DR. STEPHANIE P FAVREAU M.D.

Internal Medicine