MRS. SONIA ELENA SOSA M.D.
NPI 1396949749
Family Medicine in Portland, OR
About Mrs. Sonia Elena Sosa M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SONIA ELENA SOSA M.D. (NPI 1396949749) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD29438) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mrs. Sonia Elena Sosa 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.
Medicare Billing Reassignment
Medicare enrollment records show Sonia Sosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97233
- Reassigned Medicare billing, Oregon enrollment
- 39 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
PORTLAND, OR 97233
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 Sosa's NPI number?
The NPI number for Sonia Sosa is 1396949749. It was assigned to this individual provider in the NPPES registry on June 11, 2007. The provider is also known as Sonia Elena Sosa MD.
Where is Sonia Sosa located?
Sonia Sosa practices at 12360 E Burnside St, Portland, OR 97233. The listed phone number is (971) 279-4800.
What is Sonia Sosa's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sonia Sosa enrolled in Medicare?
Yes. Sonia Sosa 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 organization bills Medicare for Sonia Sosa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Sosa reassigns Medicare benefits to Native American Rehabilitation Assoc Inc (Portland, OR). 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 Sosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sonia Sosa accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Sonia Sosa 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 Sosa was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Mrs. Sonia Elena Sosa, M.D. · NPI 1396949749
Family Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 11, 2007.
## Identity
- **NPI:** 1396949749 (Entity type: Individual)
- **Enumerated:** June 11, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD29438 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 12360 E BURNSIDE ST, Portland, OR 97233-1042
- **Phone:** (971) 279-4800 · **Fax:** (971) 279-2051
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Native American Rehabilitation Assoc Inc (NPI 1053691972, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2007
## Record status
- **NPPES last updated:** December 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396949749) · Data from the CMS NPPES public registry.