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SONA PURI
NPI 1376539809
Internal Medicine in Pittsburgh, PA

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
3 ROBINSON PLZ STE 410, PITTSBURGH, PA 15205(412) 857-2609(412) 489-6522 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2026, Mar 25, 2021 (2 updates tracked since 2021).

About Sona Puri NPPES

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

SONA PURI (NPI 1376539809) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD436157) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1376539809
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSONA PURI
Location Address3 ROBINSON PLZ STE 410Pittsburgh, PA 15205-1018
Mailing AddressPo Box 779Morgantown, WV 26507-0779 · (304) 797-6200
Phone(412) 857-2609
Fax(412) 489-6522
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1376539809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD436157
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.
3 ROBINSON PLZ STE 410, Pittsburgh, PA 15205
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Secondary Practice Location 1

Location 1200 Lothrop St, SUITE 9055 FORBES TOWERPittsburgh, PA 15213-2536 · Phone (412) 647-3087

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Sona Puri 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 ID5799779864
PECOS Enrollment IDI20101209000457
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

2

Medicare enrollment records show Sona Puri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Community Medicine Inc
Same address
Internal Medicine
504 PITTSBURGH ST
Mars, PA 16046
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1164656336 (412) 647-0943
Wmc Physician Practices LLC
31 mi
Internal Medicine
560 STEUBENVILLE PIKE
Burgettstown, PA 15021
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 32 clinicians in this Medicare group
NPI 1518303288 (304) 797-6557

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

Areas of Expertise CMS Part B claims 2

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.
59 services37 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.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15205 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers27 claims27 services$30.52 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers16 claims16 services$77.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers16 claims47 services$29.81 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$40.81 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers15 claims15 services$13.79 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers25 claims150 services$1.69 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 3

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

WMC PHYSICIAN PRACTICES LLC
Specialist
3 ROBINSON PLZ STE 410
PITTSBURGH, PA 15205
Allegheny County (412) 489-6445
ANA CRISTINA BUSQUETS MD
Dermatology
3 ROBINSON PLZ STE 410
PITTSBURGH, PA 15205
Allegheny County (412) 857-2609
EMILY MADELYN BRENNAN
Physician Assistant
3 ROBINSON PLZ STE 410
PITTSBURGH, PA 15205
Allegheny County (412) 857-2609

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 Sona Puri's NPI number?

The NPI number for Sona Puri is 1376539809. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Sona Puri located?

Sona Puri practices at 3 Robinson Plz Ste 410, Pittsburgh, PA 15205. The listed phone number is (412) 857-2609.

What is Sona Puri's specialty?

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

Is Sona Puri enrolled in Medicare?

Yes. Sona Puri 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 Sona Puri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sona Puri reassigns Medicare benefits to 2 organizations: Upmc Community Medicine Inc (Mars, PA) and Wmc Physician Practices LLC (Burgettstown, PA). 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 Sona Puri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sona Puri accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Sona Puri 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 Sona Puri affiliated with any hospitals?

According to CMS data, Sona Puri is affiliated with Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Sona Puri was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.