SONALI A HERATH PA
NPI 1366083693
Physician Assistant - Medical in Rutland, VT

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment
215 STRATTON RD, RUTLAND, VT 05701(802) 773-3386 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Nov 10, 2021, Feb 10, 2020 and 1 more (4 updates tracked since 2019).

About Sonali A Herath Pa NPPES

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

SONALI A HERATH PA (NPI 1366083693) is an individual medical provider in Rutland, Vermont, licensed in New Jersey (25MP00717000) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and maintains a secondary practice location in Glen Ridge.

NPPES Registry Identity

NPI1366083693
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSONALI A HERATHCredential: PA
Location Address215 STRATTON RDRutland, VT 05701-4621
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2019
Enumeration DateOctober 8, 2019
Last NPPES UpdateMay 28, 20244 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
NPI 1366083693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00717000
Also ListedPhysician AssistantTaxonomy 363A00000X · License 055-0031442 (VT)
215 STRATTON RD, Rutland, VT 05701

Secondary Practice Location 1

Location 1123 Highland AveGlen Ridge, NJ 07028-1527 · Phone (973) 429-8800 · Fax (973) 748-7076

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

Sonali A Herath Pa 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 ID4789012352
PECOS Enrollment IDI20221223001351
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.

Hospital Affiliations CMS Care Compare

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

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers30 claims51 services$4.38 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers11 claims110 services$4.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier19 claims19 services$184.42 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 20

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

Social Worker (Clinical)
215 STRATTON RD
RUTLAND, VT 05701
Physician Assistant
215 STRATTON RD
RUTLAND, VT 05701
Family Medicine
215 STRATTON RD
RUTLAND, VT 05701
Physician Assistant
215 STRATTON RD
RUTLAND, VT 05701
Nurse Practitioner (Family)
215 STRATTON RD
RUTLAND, VT 05701
Social Worker (Clinical)
215 STRATTON RD
RUTLAND, VT 05701
Social Worker (Clinical)
215 STRATTON RD
RUTLAND, VT 05701
Internal Medicine
215 STRATTON RD
RUTLAND, VT 05701

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 Sonali Herath's NPI number?

The NPI number for Sonali Herath is 1366083693. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Sonali Herath located?

Sonali Herath practices at 215 Stratton Rd, Rutland, VT 05701. The listed phone number is (802) 773-3386.

What is Sonali Herath's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sonali Herath enrolled in Medicare?

Yes. Sonali Herath 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 Sonali Herath accept?

Health plans from Anthem Blue Cross and Blue Shield list Sonali Herath 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 Sonali Herath affiliated with any hospitals?

According to CMS data, Sonali Herath is affiliated with Rutland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sonali Herath was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.