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SONIKA PATEL
NPI 1538691928
Internal Medicine - Cardiovascular Disease in New York, NY

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1305 YORK AVE FL 8, NEW YORK, NY 10021(646) 962-5558(212) 746-6665 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sonika Patel NPPES

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

SONIKA PATEL (NPI 1538691928) is an individual cardiovascular disease provider in New York, New York, licensed in New York (320950) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2017).

NPPES Registry Identity

NPI1538691928
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSONIKA PATEL
Location Address1305 YORK AVE FL 8New York, NY 10021-5663
Mailing Address1305 York Ave Fl 8New York, NY 10021-5663 · (646) 962-5558 · Fax (212) 746-6665
Phone(646) 962-5558
Fax(212) 746-6665
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1538691928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 320950
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.
1305 YORK AVE FL 8, New York, NY 10021
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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

Sonika Patel 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 ID5597030346
PECOS Enrollment IDI20241207000323
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 11

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 only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
173 services161 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
155 services154 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
123 services123 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.
78 services73 patients
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.
38 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

DR. REBECCA RUDOMINER ASCUNCE M.D.
Internal Medicine (Cardiovascular Disease)
1305 YORK AVE FL 8
NEW YORK, NY 10021
New York County (646) 962-5558
SHEILA O'DONOGHUE MSN, AGPCNP-BC, BSN
Nurse Practitioner (Adult Health)
1305 YORK AVE FL 8
NEW YORK, NY 10021
New York County (646) 962-5558
DR. SEAN TIAN CHEN MD
Internal Medicine (Cardiovascular Disease)
1305 YORK AVE FL 8
NEW YORK, NY 10021
New York County (646) 962-5558
DR. STEPHANIE FELDMAN M.D.
Internal Medicine (Cardiovascular Disease)
1305 YORK AVE FL 8
NEW YORK, NY 10021
New York County (646) 962-5558
HANNAH LEHRENBAUM
Internal Medicine (Cardiovascular Disease)
1305 YORK AVE FL 8
NEW YORK, NY 10021
New York County (646) 962-5558
MRS. MARIA LIZA WENGER N.P.
Nurse Practitioner (Adult Health)
1305 YORK AVE FL 8, DIVISION OF CARDIOLOGY
NEW YORK, NY 10021
New York County (646) 962-5558
HUI CHEN NP
Nurse Practitioner (Adult Health)
1305 YORK AVE FL 8
NEW YORK, NY 10021
New York County (646) 962-5558
CAROLINE CLANCY WALSH
Nurse Practitioner (Family)
1305 YORK AVE FL 8
NEW YORK, NY 10021
New York County (646) 962-5558

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 Sonika Patel's NPI number?

The NPI number for Sonika Patel is 1538691928. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Sonika Patel located?

Sonika Patel practices at 1305 York Ave Fl 8, New York, NY 10021. The listed phone number is (646) 962-5558.

What is Sonika Patel's specialty?

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

Is Sonika Patel enrolled in Medicare?

Yes. Sonika Patel 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 Sonika Patel was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.