SONAL BHALLA M.D.
NPI 1710265350
Internal Medicine - Rheumatology in Cincinnati, OH

Active since August 01, 2011PECOS EnrolledAccepts Medicare Assignment
4805 MONTGOMERY RD STE 210, CINCINNATI, OH 45212(513) 241-2370 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2024, Aug 1, 2018, Oct 25, 2017 and 1 more (4 updates tracked since 2017).

About Sonal Bhalla M.d. NPPES

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

SONAL BHALLA M.D. (NPI 1710265350) is an individual rheumatology provider in Cincinnati, Ohio, licensed in Ohio (35.133026) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710265350
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSONAL BHALLACredential: M.D.
Location Address4805 MONTGOMERY RD STE 210Cincinnati, OH 45212-2280
Mailing Address4805 Montgomery Rd Ste 150Cincinnati, OH 45212-2280 · (513) 241-2370 · Fax (513) 241-6053
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 1, 2011
Last NPPES UpdateNovember 14, 20244 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1710265350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in OH · 35.133026
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35.133026 (OH)
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 35.133026 (OH)
4805 MONTGOMERY RD STE 210, Cincinnati, OH 45212

Secondary Practice Locations 2

Location 13310 Mercy Health Blvd Ste 230Cincinnati, OH 45211-1120 · Phone (513) 451-6200
Location 27661 Beechmont Ave Ste 130Cincinnati, OH 45255-4234 · Phone (513) 241-2370

Other Identifiers 3

Medicaid300033805IN
Medicaid0305624OH
Medicaid7100631260KY

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

Sonal Bhalla 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 ID3779881354
PECOS Enrollment IDI20180720002699
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 3

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 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.
236 services107 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.
72 services72 patients
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.
51 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45212 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 18

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

Neurological Surgery
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Nurse Practitioner
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Nurse Practitioner (Family)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Clinical Neuropsychologist
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Anesthesiology (Pain Medicine)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Psychiatry & Neurology (Neurology)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Psychiatry & Neurology (Neurology)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Physician Assistant (Medical)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212

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 Sonal Bhalla's NPI number?

The NPI number for Sonal Bhalla is 1710265350. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Sonal Bhalla located?

Sonal Bhalla practices at 4805 Montgomery Rd Ste 210, Cincinnati, OH 45212. The listed phone number is (513) 241-2370.

What is Sonal Bhalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sonal Bhalla enrolled in Medicare?

Yes. Sonal Bhalla 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 Sonal Bhalla accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and UnitedHealthcare list Sonal Bhalla 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 Sonal Bhalla affiliated with any hospitals?

According to CMS data, Sonal Bhalla is affiliated with Mercy Health-Anderson Hospital, Good Samaritan Hospital, Christ Hospital, Mercy Health - West Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Sonal Bhalla was last updated on November 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.