SOFIA BUENAVENTURA
NPI 1699272146
Obstetrics & Gynecology in Birmingham, AL

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
625 19TH ST S, BIRMINGHAM, AL 35233(205) 934-5631 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2022, Apr 11, 2018 (2 updates tracked since 2018).

About Sofia Buenaventura NPPES

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

SOFIA BUENAVENTURA (NPI 1699272146) is an individual obstetrics & gynecology provider in Birmingham, Alabama, licensed in Illinois (036161954) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699272146
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSOFIA BUENAVENTURA
Location Address625 19TH ST SBirmingham, AL 35233-1900
Mailing Address11510 Conestoga Lane CtHouston, TX 77066-3819 · (832) 247-2596
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 11, 2018
Last NPPES UpdateNovember 3, 20222 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
NPI 1699272146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 036161954
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
625 19TH ST S, Birmingham, AL 35233

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

Sofia Buenaventura 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 ID6103175880
PECOS Enrollment IDI20221230001313
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services24 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.
26 services20 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Psychiatry & Neurology (Psychiatry)
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233

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 Sofia Buenaventura's NPI number?

The NPI number for Sofia Buenaventura is 1699272146. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Sofia Buenaventura located?

Sofia Buenaventura practices at 625 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-5631.

What is Sofia Buenaventura's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sofia Buenaventura enrolled in Medicare?

Yes. Sofia Buenaventura 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 Sofia Buenaventura affiliated with any hospitals?

According to CMS data, Sofia Buenaventura is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Sofia Buenaventura was last updated on November 3, 2022. 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.