SONIA JEEVAN ABICHANDANI M.D.
NPI 1588059067
Internal Medicine - Gastroenterology in Cary, NC

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
93.83/100
CMS Quality Rating
115 KILDAIRE PARK DR STE 201, CARY, NC 27518(919) 816-4948(919) 233-7685 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, May 14, 2019 (2 updates tracked since 2019).

About Sonia Jeevan Abichandani M.d. NPPES

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

SONIA JEEVAN ABICHANDANI M.D. (NPI 1588059067) is an individual gastroenterology provider in Cary, North Carolina, licensed in North Carolina (2019-01077) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1588059067
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSONIA JEEVAN ABICHANDANICredential: M.D.
Location Address115 KILDAIRE PARK DR STE 201Cary, NC 27518-8144
Mailing Address115 Kildaire Park Dr Ste 201Cary, NC 27518-8144 · (919) 816-4948 · Fax (919) 233-7685
Fax(919) 233-7685
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1588059067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NC · 2019-01077
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
115 KILDAIRE PARK DR STE 201, Cary, NC 27518

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

Sonia Jeevan Abichandani M.d. 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 ID9234437450
PECOS Enrollment IDI20220511001561
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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
145 services63 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
52 services52 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.
46 services34 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.
36 services36 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

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 27518 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.

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.

93.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost79.45

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Gastroenterology)
115 KILDAIRE PARK DR STE 201
CARY, NC 27518
Internal Medicine (Gastroenterology)
115 KILDAIRE PARK DR STE 201
CARY, NC 27518
Internal Medicine (Gastroenterology)
115 KILDAIRE PARK DR STE 201
CARY, NC 27518
Internal Medicine (Gastroenterology)
115 KILDAIRE PARK DR STE 201
CARY, NC 27518
Internal Medicine (Gastroenterology)
115 KILDAIRE PARK DR STE 201
CARY, NC 27518
Internal Medicine (Gastroenterology)
115 KILDAIRE PARK DR STE 201
CARY, NC 27518
Internal Medicine (Gastroenterology)
115 KILDAIRE PARK DR STE 201
CARY, NC 27518
Internal Medicine (Gastroenterology)
115 KILDAIRE PARK DR STE 201
CARY, NC 27518

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 Abichandani's NPI number?

The NPI number for Sonia Abichandani is 1588059067. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Sonia Abichandani located?

Sonia Abichandani practices at 115 Kildaire Park Dr Ste 201, Cary, NC 27518. The listed phone number is (919) 816-4948.

What is Sonia Abichandani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sonia Abichandani enrolled in Medicare?

Yes. Sonia Abichandani 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 Abichandani accept?

Health plans from Blue Cross and Blue Shield of NC list Sonia Abichandani 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 Abichandani affiliated with any hospitals?

According to CMS data, Sonia Abichandani is affiliated with Rex Hospital and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Abichandani was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.