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SONIA HEGDE D.O.
NPI 1487870101
Internal Medicine - Endocrinology, Diabetes & Metabolism in New Haven, CT

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
46 PRINCE ST, SUITE 302, NEW HAVEN, CT 06519(203) 772-0011(203) 785-9352 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sonia Hegde D.o. NPPES

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

SONIA HEGDE D.O. (NPI 1487870101) is an individual endocrinology, diabetes & metabolism provider in New Haven, Connecticut, licensed in Connecticut (049943) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487870101
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSONIA HEGDECredential: D.O.
Location Address46 PRINCE ST, SUITE 302New Haven, CT 06519-1600
Mailing Address25 Germantown Rd, Suite 1aDanbury, CT 06810-5036 · (203) 794-5620
Phone(203) 772-0011
Fax(203) 785-9352
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 18, 2007
Last NPPES UpdateDecember 15, 2014
✔ NPI 1487870101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in CT · 049943✔ Licensed in NY · 248820
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
46 PRINCE ST, New Haven, CT 06519
Open in Google Maps ↗

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

Sonia Hegde D.o. 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 ID2961670385
PECOS Enrollment IDI20110729000129
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 5

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.
170 services58 patients
Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
115 services48 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
111 services33 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
31 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers27 claims342 services$18.28 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers25 claims780 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers74 claims359 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims58 services$1.18 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier24 claims24 services$305.03 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers19 claims2,160 services$6.17 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.

KRISTIN NOWAK
Advanced Practice Midwife
46 PRINCE ST, #207
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 787-2264
DR. WAYNE IAN LARRISON M.D.
Ophthalmology
46 PRINCE ST, SUITE 402A
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 787-6161
JOAN M MESSNER CNM
Advanced Practice Midwife
46 PRINCE ST, #207
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 787-2264
DR. VINCENT QUARATO D.C.
Chiropractor
46 PRINCE ST, SUITE 201
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 562-0656
DIANE LEVINE PT
Physical Therapist
46 PRINCE ST, SUITE 402B
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 752-7878
SHIRLEY MUDZINSKI PT
Physical Therapist
46 PRINCE ST, SUITE 402B
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 752-7878
ROBERT F MORRISON M.D.
Internal Medicine (Cardiovascular Disease)
46 PRINCE ST
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 867-5300
AJOY KAPOOR M.D.
Internal Medicine (Cardiovascular Disease)
46 PRINCE ST
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 867-5300

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 Hegde's NPI number?

The NPI number for Sonia Hegde is 1487870101. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Sonia Hegde located?

Sonia Hegde practices at 46 Prince St Suite 302, New Haven, CT 06519. The listed phone number is (203) 772-0011.

What is Sonia Hegde's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sonia Hegde enrolled in Medicare?

Yes. Sonia Hegde 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.

When was this NPI record last updated?

The NPPES record for Sonia Hegde was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.