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SONIA KSHATRI MD
NPI 1376246959
Hospitalist in Milwaukee, WI

Active since March 23, 2023PECOS Enrolled
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 955-0350(414) 955-0094 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Mar 23, 2023 (2 updates tracked since 2023).

About Sonia Kshatri Md NPPES

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

SONIA KSHATRI MD (NPI 1376246959) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (86265-020) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2023).

NPPES Registry Identity

NPI1376246959
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSONIA KSHATRICredential: MD
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 955-0350 · Fax (414) 955-0094
Phone(414) 955-0350
Fax(414) 955-0094
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1376246959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 86265-020
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 86265-020 (WI)
9200 W WISCONSIN AVE, Milwaukee, WI 53226
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Other Identifiers 1

Medicaid1376246959WI

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonia Kshatri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486008216
PECOS Enrollment IDI20260512000877
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 Reassignment

Medicare enrollment records show Sonia Kshatri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Medical College Of Wisconsin, Inc.
0.2 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

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 Sonia Kshatri's NPI number?

The NPI number for Sonia Kshatri is 1376246959. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Sonia Kshatri located?

Sonia Kshatri practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 955-0350.

What is Sonia Kshatri's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sonia Kshatri enrolled in Medicare?

Yes. Sonia Kshatri is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sonia Kshatri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Kshatri reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). The 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 Sonia Kshatri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Kshatri accept?

Health plans from Anthem Blue Cross and Blue Shield list Sonia Kshatri 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.

When was this NPI record last updated?

The NPPES record for Sonia Kshatri was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.