SOFIA GUL MD
NPI 1346573086
Internal Medicine in Irving, TX

Active since September 14, 2009PECOS EnrolledAccepts Medicare Assignment
4545 FULLER DR, SUITE 325, IRVING, TX 75038(972) 870-5511 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sofia Gul Md NPPES

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

SOFIA GUL MD (NPI 1346573086) is an individual internal medicine provider in Irving, Texas, licensed in Texas (P8135) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Sullivan County Community Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1346573086
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSOFIA GULCredential: MD
Location Address4545 FULLER DR, SUITE 325Irving, TX 75038-6530
Mailing AddressPo Box 1239Troy, MI 48099-1239 · (248) 824-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 14, 2009
Last NPPES UpdateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
NPI 1346573086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · P8135 Licensed in OH · 098438
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.
4545 FULLER DR, Irving, TX 75038

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

Sofia Gul 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 ID3779749171
PECOS Enrollment IDI20140407000883, I20250218002206
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 6

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 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.
389 services141 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.
241 services104 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.
168 services162 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.
140 services131 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services21 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Monadnock Community Hospital

Critical Access Hospitals · Peterborough, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301309
Location452 Old Street RoadPeterborough, NH 03458 · Hillsborough County
Emergency services Birthing friendly

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Texas Health Hospital Mansfield

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670309
Location2300 Lone Star RoadMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%207 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers38 claims38 services$15.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers50 claims50 services$66.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$31.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
4545 FULLER DR, STE. 325
IRVING, TX 75038
Hospice Care, Community Based
4545 FULLER DR, STE 330
IRVING, TX 75038
Family Medicine
4545 FULLER DR, SUITE 325
IRVING, TX 75038
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
4545 FULLER DR, SUITE 240
IRVING, TX 75038
Nurse Practitioner (Family)
4545 FULLER DR, SUITE 325
IRVING, TX 75038
Family Medicine
4545 FULLER DR, SUITE# 325
IRVING, TX 75038
Nurse Practitioner
4545 FULLER DR, SUITE 325
IRVING, TX 75038
Day Training, Developmentally Disabled Services
4545 FULLER DR, SUITE 415
IRVING, TX 75038

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 Sofia Gul's NPI number?

The NPI number for Sofia Gul is 1346573086. It was assigned to this individual provider in the NPPES registry on September 14, 2009.

Where is Sofia Gul located?

Sofia Gul practices at 4545 Fuller Dr Suite 325, Irving, TX 75038. The listed phone number is (972) 870-5511.

What is Sofia Gul's specialty?

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

Is Sofia Gul enrolled in Medicare?

Yes. Sofia Gul 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 Sofia Gul accept?

Health plans from AvMed, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Sofia Gul 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 Sofia Gul affiliated with any hospitals?

According to CMS data, Sofia Gul is affiliated with Sullivan County Community Hospital, Monadnock Community Hospital, Medical City Dallas Hospital, Texas Health Huguley Hospital Fort Worth South and Texas Health Hospital Mansfield.

When was this NPI record last updated?

The NPPES record for Sofia Gul was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.