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SONI ELIZABETH STAKE MD
NPI 1487844395
General Practice in Douglas, AZ

Active since July 26, 2007PECOS Enrolled
100 E 5TH ST, DOUGLAS, AZ 85607(520) 364-7659(520) 364-8541 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2022, Dec 8, 2015 (2 updates tracked since 2015).

About Soni Elizabeth Stake Md NPPES

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

SONI ELIZABETH STAKE MD (NPI 1487844395) is an individual general practice provider in Douglas, Arizona, licensed in Arizona (40468) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487844395
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSONI ELIZABETH STAKECredential: MD
Location Address100 E 5TH STDouglas, AZ 85607-2859
Mailing Address3815 E Edna AvePhoenix, AZ 85032-2101 · (313) 570-1752
Phone(520) 364-7659
Fax(520) 364-8541
Sole ProprietorNo
Enumeration DateJuly 26, 2007
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1487844395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AZ · 40468
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal MedicineTaxonomy 207R00000X · License 40468 (AZ)
Also ListedSurgeryTaxonomy 208600000X · License 40468 (AZ)
100 E 5TH ST, Douglas, AZ 85607
Open in Google Maps ↗

Other Identifiers 1

Medicaid362117AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soni Elizabeth Stake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims

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
2 suppliers13 claims13 services$90.06 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 15

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

DR. EDWARD JOHN MILLER JR. D.O.
Obstetrics & Gynecology
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
DR. SEAN MARSHALL SPURR D.O.
Internal Medicine
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
DR. PANAYIOTIS A ELLINAS II MD, MPH
General Practice
100 E 5TH ST, CQCH BILLING DEPT
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
AKDHC, LLC
Internal Medicine (Nephrology)
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 622-3569
PEARLIE WILSON-NATAL FNP
Nurse Practitioner (Family)
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
JENNIFER CHAMNESS NP
Nurse Practitioner (Family)
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
CARLOS ERNESTO PENA PA
Physician Assistant
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
PIMA HEART PHYSICIANS, PC
Internal Medicine (Cardiovascular Disease)
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 838-3540

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 Soni Stake's NPI number?

The NPI number for Soni Stake is 1487844395. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Soni Stake located?

Soni Stake practices at 100 E 5th St, Douglas, AZ 85607. The listed phone number is (520) 364-7659.

What is Soni Stake's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Soni Stake enrolled in Medicare?

Yes. Soni Stake is registered in the Medicare PECOS enrollment system.

What insurance does Soni Stake accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Soni Stake 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 Soni Stake was last updated on September 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.