SAMSHER B SONAWANE MD
NPI 1568415073
Internal Medicine - Nephrology in Raleigh, NC

Q: What is Samsher Sonawane's NPI number?

The NPI number for Samsher Sonawane is 1568415073. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Samsher Sonawane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Samsher Sonawane was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

3700 BARRETT DR STE 200, RALEIGH, NC 27609(919) 231-3966(919) 231-3912 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 12, 2025, Apr 28, 2022, Mar 29, 2021 and 2 more (5 updates tracked since 2019).

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About Samsher B Sonawane Md NPPES

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

SAMSHER B SONAWANE MD (NPI 1568415073) is an individual nephrology provider in Raleigh, North Carolina, licensed in North Carolina (200700331) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Wake Forest.

NPPES Registry Identity

NPI1568415073

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameSAMSHER B SONAWANECredential: MD

Location Address3700 BARRETT DR STE 200Raleigh, NC 27609-7172

Mailing Address3700 Barrett Dr Ste 200Raleigh, NC 27609-7172 · (919) 231-3966 · Fax (919) 231-3912

Phone(919) 231-3966

Fax(919) 231-3912

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2000

Enumeration DateMay 18, 2006

Last NPPES UpdateFebruary 12, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1568415073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NC · 200700331

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3700 BARRETT DR STE 200, Raleigh, NC 27609

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Secondary Practice Location 1

Location 12824 Rogers Rd Ste 104Wake Forest, NC 27587-3896 · Phone (919) 876-7807

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Samsher B Sonawane Md 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 ID6305745035

PECOS Enrollment IDI20070628000604

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

231 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

187 services101 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.

168 services112 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.

124 services77 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

94 services31 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

78 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Betsy Johnson Regional Hospital

Acute Care Hospitals · Dunn, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340071

Location800 Tilghman DrDunn, NC 28334 · Harnett County

Emergency services

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340173

Location1900 Kildare Farm RoadCary, NC 27518 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

2 suppliers12 claims6,600 services$1.20 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.

ANNE CATHERINE HARRIS DNP, FNP-C

Nurse Practitioner (Family)