DR. SONIA A TALWAR
NPI 1689655946
Internal Medicine - Endocrinology, Diabetes & Metabolism in Plainview, NY

Active since November 11, 2005PECOS EnrolledAccepts Medicare Assignment
85.25/100
CMS Quality Rating
1097 OLD COUNTRY RD, SUITE 102, PLAINVIEW, NY 11803(516) 931-1007(516) 931-1008 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sonia A Talwar NPPES

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

DR. SONIA A TALWAR (NPI 1689655946) is an individual endocrinology, diabetes & metabolism provider in Plainview, New York, licensed in New York (208487) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1689655946
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SONIA A TALWAR
Location Address1097 OLD COUNTRY RD, SUITE 102Plainview, NY 11803-6505
Mailing Address1097 Old Country Rd, Suite 102Plainview, NY 11803-6505 · (516) 931-1007 · Fax (516) 931-1008
Fax(516) 931-1008
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 11, 2005
Last NPPES UpdateMarch 20, 2008
NPI 1689655946 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 NY · 208487
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.
1097 OLD COUNTRY RD, Plainview, NY 11803

Other Identifiers 2

Medicare UPING86488NY
Medicare ID-Type Unspecified53N841NY

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. Sonia A Talwar 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 ID3971535576
PECOS Enrollment IDI20050902000714
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 17

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.

Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
15,120 services14 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
13,380 services131 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.
2,123 services941 patients
Injection of drug or substance into vein 96374
This procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.
1,062 services205 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.
346 services150 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
302 services39 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

85.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.91
Promoting Interoperability100
Improvement Activities40
Cost50.92

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%857 patients4/55-star benchmark: 98%
e-Prescribing
99%4,723 patients4/55-star benchmark: 100%
Falls: Plan of Care
100%68 patients
Falls: Screening for Future Fall Risk
100%1,121 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 2,158 patients
Patients screened: 90% · 2,158 patients
100%73 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 10% · 2,158 patients
Patients screened: 10% · 2,158 patients
100%21 patients
Provide Patients Electronic Access to Their Health Information
98%1,774 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%81 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers23 claims296 services$18.23 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers22 claims700 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
79 suppliers395 claims1,414 services$6.07 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
6 suppliers19 claims19 services$2.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
50 suppliers166 claims310 services$1.07 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers16 claims16 services$319.80 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 14

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

Internal Medicine (Cardiovascular Disease)
1097 OLD COUNTRY RD, SUITE 103
PLAINVIEW, NY 11803
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1097 OLD COUNTRY RD, SUITE 102
PLAINVIEW, NY 11803
Anesthesiology
1097 OLD COUNTRY RD, SUITE 104
PLAINVIEW, NY 11803
Internal Medicine
1097 OLD COUNTRY RD, SUITE 201
PLAINVIEW, NY 11803
Internal Medicine
1097 OLD COUNTRY RD, STE 103
PLAINVIEW, NY 11803
Surgery
1097 OLD COUNTRY RD, SUITE 101
PLAINVIEW, NY 11803
Dentist (General Practice)
1097 OLD COUNTRY RD, SUITE 205
PLAINVIEW, NY 11803
Dentist (Prosthodontics)
1097 OLD COUNTRY RD, SUITE 209
PLAINVIEW, NY 11803

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 Talwar's NPI number?

The NPI number for Sonia Talwar is 1689655946. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Sonia Talwar located?

Sonia Talwar practices at 1097 Old Country Rd Suite 102, Plainview, NY 11803. The listed phone number is (516) 931-1007.

What is Sonia Talwar's specialty?

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

Is Sonia Talwar enrolled in Medicare?

Yes. Sonia Talwar 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.

Is Sonia Talwar affiliated with any hospitals?

According to CMS data, Sonia Talwar is affiliated with North Shore University Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Talwar was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.