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DR. SONIA N. TOLANI MD
NPI 1750542999
Internal Medicine - Cardiovascular Disease in New York, NY

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
177 FORT WASHINGTON AVE, 6TH FLOOR CTR 12, NEW YORK, NY 10032(212) 305-2913 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sonia N. Tolani Md NPPES

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

DR. SONIA N. TOLANI MD (NPI 1750542999) is an individual cardiovascular disease provider in New York, New York, licensed in New York (249818) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of New York University School Of Medicine (2006).

NPPES Registry Identity

NPI1750542999
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SONIA N. TOLANICredential: MD
Location Address177 FORT WASHINGTON AVE, 6TH FLOOR CTR 12New York, NY 10032-3733
Mailing Address630 West 168 Street, Box 4New York, NY 10032-3725
Phone(212) 305-2913
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2006
Enumeration DateJune 20, 2008
Last NPPES UpdateJanuary 11, 2016
✔ NPI 1750542999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 249818
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 249818 (NY)
177 FORT WASHINGTON AVE, New York, NY 10032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Sonia N. Tolani Md 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 ID8628211778
PECOS Enrollment IDI20130821000694
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 12

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.
415 services333 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
313 services292 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
162 services162 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.
156 services120 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
137 services135 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.
93 services93 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
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.

SHADY AHMED PT, DPT
Physical Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-3280
BRIGGITTE PAOLA ALCIVAR FNP
Nurse Practitioner (Family)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (347) 215-1922
MRS. CLAUDIA ANN GHIGLIOTTY OTR
Occupational Therapist
177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032
New York County (212) 305-8352
BRITTANY SHINN MS OTR/L
Occupational Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-8352
NATASHA LOUISA COLEMAN
Surgery (Surgical Critical Care)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5970
KIMBERLY BUKOSKI PA-C
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (203) 218-4748
ANDREW ANZALONE
Student in an Organized Health Care Education/Training Program
177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032
New York County (212) 305-6262
DANIELLE NICOLE CRUZ PHYSICIAN ASSISTANT
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2500

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 Tolani's NPI number?

The NPI number for Sonia Tolani is 1750542999. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Sonia Tolani located?

Sonia Tolani practices at 177 Fort Washington Ave 6th Floor Ctr 12, New York, NY 10032. The listed phone number is (212) 305-2913.

What is Sonia Tolani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sonia Tolani enrolled in Medicare?

Yes. Sonia Tolani 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 Tolani accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sonia Tolani 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 Tolani affiliated with any hospitals?

According to CMS data, Sonia Tolani is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Tolani was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.