DR. NISHTHA SODHI M.D.
NPI 1467744326
Internal Medicine - Cardiovascular Disease in Saint Paul, MN

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
225 SMITH AVE N STE 400, SAINT PAUL, MN 55102(651) 290-0133 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2021, Jun 23, 2021, Oct 13, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Nishtha Sodhi M.d. NPPES

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

DR. NISHTHA SODHI M.D. (NPI 1467744326) is an individual cardiovascular disease provider in Saint Paul, Minnesota, licensed in Minnesota (73015) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Northwest Hospital, and is a graduate of Drexel University College Of Medicine (2011).

NPPES Registry Identity

NPI1467744326
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. NISHTHA SODHICredential: M.D.
Location Address225 SMITH AVE N STE 400Saint Paul, MN 55102-2568
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2011
Enumeration DateMay 11, 2011
Last NPPES UpdateSeptember 28, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
NPI 1467744326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MN · 73015
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 73015 (MN)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 73015 (MN)
225 SMITH AVE N STE 400, Saint Paul, MN 55102

Other Identifiers 1

Medicaid200055493MO

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

Dr. Nishtha Sodhi 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 ID1658628169
PECOS Enrollment IDI20250514003532
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 7

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
47 services37 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
26 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services20 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
17 services16 patients
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.
16 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Northwest Hospital

Acute Care Hospitals · Margate, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100189
Location2801 N State Rd 7Margate, FL 33063 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Internal Medicine
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Nurse Practitioner (Adult Health)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Nurse Practitioner
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Cardiovascular Disease)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Nurse Practitioner
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Cardiovascular Disease)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Interventional Cardiology)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Cardiovascular Disease)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102

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 Nishtha Sodhi's NPI number?

The NPI number for Nishtha Sodhi is 1467744326. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Nishtha Sodhi located?

Nishtha Sodhi practices at 225 Smith Ave N Ste 400, Saint Paul, MN 55102. The listed phone number is (651) 290-0133.

What is Nishtha Sodhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nishtha Sodhi enrolled in Medicare?

Yes. Nishtha Sodhi 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 Nishtha Sodhi accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Nishtha Sodhi 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 Nishtha Sodhi affiliated with any hospitals?

According to CMS data, Nishtha Sodhi is affiliated with Hca Florida Northwest Hospital.

When was this NPI record last updated?

The NPPES record for Nishtha Sodhi was last updated on September 28, 2023. 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.