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DR. SONIYA PATEL M.D.
NPI 1396150561
Hospitalist in Loxahatchee, FL

Active since June 26, 2014PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470(561) 798-3300 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2020, Jun 14, 2018, Nov 17, 2017 (3 updates tracked since 2017).

About Dr. Soniya Patel M.d. NPPES

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

DR. SONIYA PATEL M.D. (NPI 1396150561) is an individual hospitalist provider in Loxahatchee, Florida, licensed in Florida (ME130261) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1396150561
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SONIYA PATELCredential: M.D.
Location Address13001 SOUTHERN BLVDLoxahatchee, FL 33470
Mailing Address1324 Lakeland Hills Blvd, Managed Care DeptLakeland, FL 33805
Phone(561) 798-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 26, 2014
Last NPPES UpdateJuly 10, 20203 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
✔ NPI 1396150561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME130261
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 ME130261 (FL)
13001 SOUTHERN BLVD, Loxahatchee, FL 33470
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Dr. Soniya Patel M.d. 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 ID3870851561
PECOS Enrollment IDI20180102000579
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 3

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.
206 services71 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.
73 services70 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.
61 services33 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

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…
95%21 patients4/55-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 2

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

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
1 supplier21 claims24 services$59.52 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims24 services$27.05 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.

RITA ANN WEBER ARNP
Nurse Practitioner (Family)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-3300
KIMEKA JOSEPH PA-C
Physician Assistant
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-3300
PAULA RAMSAY CRNA
Nurse Anesthetist, Certified Registered
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-6031
EMIL I. MICHAELS MD
Anesthesiology
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-6092
SHERIDAN RADIOLOGY SERVICES OF PINELLAS, INC.
Radiology (Diagnostic Radiology)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 784-3238
BLESSEN MATHEW M.D.
Internal Medicine
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-3300
KRISTIN ARCHER
Nurse Practitioner (Family)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-6080
MRS. KIMBERLY NORELLE DAWKINS RPA-C
Physician Assistant (Surgical)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (732) 882-3673

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 Soniya Patel's NPI number?

The NPI number for Soniya Patel is 1396150561. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Soniya Patel located?

Soniya Patel practices at 13001 Southern Blvd, Loxahatchee, FL 33470. The listed phone number is (561) 798-3300.

What is Soniya Patel's specialty?

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

Is Soniya Patel enrolled in Medicare?

Yes. Soniya Patel 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 Soniya Patel accept?

Health plans from AvMed list Soniya Patel 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 Soniya Patel affiliated with any hospitals?

According to CMS data, Soniya Patel is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Soniya Patel was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.