SONA A PATEL MD
NPI 1770554834
Internal Medicine in Burlington, NC

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
1240 HUFFMAN MILL RD, BURLINGTON, NC 27215(843) 237-3378(843) 237-5073 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sona A Patel Md NPPES

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

SONA A PATEL MD (NPI 1770554834) is an individual internal medicine provider in Burlington, North Carolina, licensed in North Carolina (200301508) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Alamance Regional Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1770554834
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSONA A PATELCredential: MD
Location Address1240 HUFFMAN MILL RDBurlington, NC 27215-8700
Mailing AddressPo Box 60728Charlotte, NC 28260-0728 · (843) 237-3378 · Fax (843) 237-5073
Fax(843) 237-5073
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 27, 2006
Last NPPES UpdateMarch 17, 2009
NPI 1770554834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 200301508
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1240 HUFFMAN MILL RD, Burlington, NC 27215

Other Identifiers 5

OtherP00222195NC · Railroad Medicare
Medicare PIN2021697ANC
Other1351HNC · Blue Cross Blue Shield
Medicare UPINH94626NC
Medicaid891351HNC

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

Sona A Patel 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 ID5597669762
PECOS Enrollment IDI20040319000459
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
273 services119 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
98 services94 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Alamance Regional Medical Center

Acute Care Hospitals · Burlington, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340070
Location1240 Huffman Mill RdBurlington, NC 27216 · Alamance County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27215 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$17.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers62 claims62 services$88.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$32.60 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 20

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

Nurse Practitioner (Family)
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Nurse Anesthetist, Certified Registered
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Counselor (Mental Health)
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Anesthesiology
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Pharmacist
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Internal Medicine (Critical Care Medicine)
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Emergency Medicine
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Nurse Anesthetist, Certified Registered
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215

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 Sona Patel's NPI number?

The NPI number for Sona Patel is 1770554834. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Sona Patel located?

Sona Patel practices at 1240 Huffman Mill Rd, Burlington, NC 27215. The listed phone number is (843) 237-3378.

What is Sona Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sona Patel enrolled in Medicare?

Yes. Sona Patel 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 Sona Patel accept?

Health plans from AmeriHealth Caritas Next list Sona Patel 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 Sona Patel affiliated with any hospitals?

According to CMS data, Sona Patel is affiliated with Alamance Regional Medical Center and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Sona Patel was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.