MRS. SONIA CLARE PATEL NP
NPI 1568817526
Nurse Practitioner - Adult Health in Dallas, TX

Active since April 27, 2016PECOS EnrolledAccepts Medicare Assignment
2201 INWOOD RD, DALLAS, TX 75235(401) 524-9880 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Sonia Clare Patel Np NPPES

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

MRS. SONIA CLARE PATEL NP (NPI 1568817526) is an individual adult health provider in Dallas, Texas, licensed in Massachusetts (751438) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568817526
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SONIA CLARE PATELCredential: NP
Location Address2201 INWOOD RDDallas, TX 75235-7320
Mailing Address2201 Inwood RdDallas, TX 75235-7320 · (401) 524-9880
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 27, 2016
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
NPI 1568817526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MA · 751438
2201 INWOOD RD, Dallas, TX 75235

Accepted 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

Mrs. Sonia Clare Patel Np 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 ID1658659693
PECOS Enrollment IDI20211108000132
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 4

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 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.
68 services61 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 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.
30 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Oncology)
2201 INWOOD RD
DALLAS, TX 75235
Nurse Practitioner (Family)
2201 INWOOD RD
DALLAS, TX 75235
Internal Medicine (Hematology & Oncology)
2201 INWOOD RD
DALLAS, TX 75235
Internal Medicine (Medical Oncology)
2201 INWOOD RD
DALLAS, TX 75235
Genetic Counselor, MS
2201 INWOOD RD
DALLAS, TX 75235
Physician Assistant
2201 INWOOD RD, MAIL CODE 8574
DALLAS, TX 75235
Internal Medicine (Hematology & Oncology)
2201 INWOOD RD, NC8.106
DALLAS, TX 75235
Genetic Counselor, MS
2201 INWOOD RD
DALLAS, TX 75235

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 Patel's NPI number?

The NPI number for Sonia Patel is 1568817526. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Sonia Patel located?

Sonia Patel practices at 2201 Inwood Rd, Dallas, TX 75235. The listed phone number is (401) 524-9880.

What is Sonia Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sonia Patel enrolled in Medicare?

Yes. Sonia 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.

What insurance does Sonia Patel accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sonia Patel 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.

Is Sonia Patel affiliated with any hospitals?

According to CMS data, Sonia Patel is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Sonia Patel was last updated on October 6, 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.