DR. SONAL BHATIA
NPI 1356605844
Pediatrics in Dallas, TX

Active since June 28, 2012PECOS EnrolledAccepts Medicare Assignment
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 590-8000 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2026, Aug 9, 2025, Mar 13, 2025 and 1 more (4 updates tracked since 2018).

About Dr. Sonal Bhatia NPPES

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

DR. SONAL BHATIA (NPI 1356605844) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (U2682) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356605844
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SONAL BHATIA
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing AddressPo Box 845347Dallas, TX 75284-5437
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 28, 2012
Last NPPES UpdateMarch 27, 20264 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1356605844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · U2682
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License U2682 (TX)
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 38640 (SC)
1935 MEDICAL DISTRICT DR, Dallas, TX 75235

Secondary Practice Locations 2

Location 1171 Ashley AveCharleston, SC 29425 · Phone (843) 792-1414
Location 2250 Hospital PlSoldotna, AK 99669-6999 · Phone (907) 714-4529

Other Identifiers 3

Medicaid1757147AK
OtherU2682TX · License
Other202489AK · Ak License

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

Dr. Sonal Bhatia 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 ID3476862087
PECOS Enrollment IDI20230508001314, I20230727002061, I20250724002613
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 Sonal Bhatia reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
Specialist
336 22ND AVE N
Nashville, TN 37203
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Neurology with Special Qualifications in Child Neurology
5600 S QUEBEC ST STE 312A
Greenwood Village, CO 80111
  • Reassigned Medicare billing, Colorado enrollment
  • 110 clinicians in this Medicare group
Multi-Specialty
2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
Family Medicine
2620 E BARNETT RD, SUITE H
Medford, OR 97504
  • Reassigned Medicare billing, Oregon enrollment
  • 353 clinicians in this Medicare group
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 3,207 clinicians in this Medicare group
1,630 mi
Family Medicine
105 ARNEY RD STE 120
Woodburn, OR 97071
  • Reassigned Medicare billing, Oregon enrollment
  • 625 clinicians in this Medicare group
Rural
108 E CORRAL AVE
Soldotna, AK 99669
  • Reassigned Medicare billing, Alaska 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.

Hospital Affiliations CMS Care Compare 2

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

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 Bhatia's NPI number?

The NPI number for Sonal Bhatia is 1356605844. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Sonal Bhatia located?

Sonal Bhatia practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 590-8000.

What is Sonal Bhatia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sonal Bhatia enrolled in Medicare?

Yes. Sonal 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 Sonal Bhatia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonal Bhatia reassigns Medicare benefits to 8 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX), Real Time Tele-Epilepsy Consultants, PC (Nashville, TN), Blue Sky Telehealth, LLC (Greenwood Village, CO), University Medical Associates (Charleston, SC), Asante Physician Partners (Medford, OR) 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 Sonal Bhatia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonal Bhatia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sonal 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 Sonal Bhatia affiliated with any hospitals?

According to CMS data, Sonal Bhatia is affiliated with Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sonal Bhatia was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.