DR. SONIE S SUNNY D.O.
NPI 1538540463
Internal Medicine - Endocrinology, Diabetes & Metabolism in Round Rock, TX

Q: What is Sonie Sunny's NPI number?

The NPI number for Sonie Sunny is 1538540463. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Q: What is Sonie Sunny's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sonie Sunny was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment

83.36/100

CMS Quality Rating

110 DEER RIDGE DR, ROUND ROCK, TX 78681(512) 458-8400(512) 458-8593 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2021, Jul 11, 2018 (2 updates tracked since 2018).

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About Dr. Sonie S Sunny D.o. NPPES

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

DR. SONIE S SUNNY D.O. (NPI 1538540463) is an individual endocrinology, diabetes & metabolism provider in Round Rock, Texas, licensed in Texas (R7604) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Rollins Brook, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1538540463

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. SONIE S SUNNYCredential: D.O.

Location Address110 DEER RIDGE DRRound Rock, TX 78681-5514

Mailing Address110 Deer Ridge DrRound Rock, TX 78681-5514 · (512) 458-8400 · Fax (512) 458-8593

Phone(512) 458-8400

Fax(512) 458-8593

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 16, 2015

Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration

NPPES CertifiedNovember 8, 2021

✔ NPI 1538540463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in TX · R7604

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.

110 DEER RIDGE DR, Round Rock, TX 78681

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc..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. Sonie S Sunny 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 ID8921354549

PECOS Enrollment IDI20180711002843

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.

512 services379 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

61 services59 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.

48 services35 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.

35 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Rollins Brook

Critical Access Hospitals · Lampasas, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451323

Location608 North Key AvenueLampasas, TX 76550 · Lampasas County

Emergency services

Ascension Seton Highland Lakes

Critical Access Hospitals · Burnet, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451365

Location3201 S Water StBurnet, TX 78611 · Burnet County

Emergency services

Comanche County Medical Center

Critical Access Hospitals · Comanche, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451382

Location10201 Hwy 16Comanche, TX 76442 · Comanche County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78681 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

83.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.84

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers14 claims39 services$6.81 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

1 supplier11 claims11 services$310.79 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers27 claims27 services$187.29 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 7

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

DR. MAULI N SHAH MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)