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DR. SONYA KOTHADIA MD, MPH
NPI 1790214047
Internal Medicine - Infectious Disease in Durham, NC

Active since June 09, 2017PECOS EnrolledAccepts Medicare Assignment
330 TRENT DR, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, May 19, 2022, Jun 9, 2017 (3 updates tracked since 2017).

About Dr. Sonya Kothadia Md, Mph NPPES

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

DR. SONYA KOTHADIA MD, MPH (NPI 1790214047) is an individual infectious disease provider in Durham, North Carolina, licensed in Ohio (57.249081) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790214047
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. SONYA KOTHADIACredential: MD, MPH
Location Address330 TRENT DRDurham, NC 27710-3800
Mailing Address330 Trent Dr Rm 256Durham, NC 27710-0001
Phone(919) 684-8111
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2017
Enumeration DateJune 9, 2017
Last NPPES UpdateAugust 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1790214047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 57.249081
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
330 TRENT DR, Durham, NC 27710
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19500 Euclid Ave # Mailg-21Cleveland, OH 44195-3800 · Phone (216) 444-9043
Location 21650 W Harrison St # 466Chicago, IL 60612-3800 · Phone (312) 942-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Sonya Kothadia Md, Mph 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 ID1456772755
PECOS Enrollment IDI20230830001178
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
216 services66 patients
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.
42 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services40 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.
35 services25 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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.

Other Providers at the Same Location NPPES

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

JOHN PERFECT M.D.
Internal Medicine (Infectious Disease)
330 TRENT DR, 163 HANES HOUSE
DURHAM, NC 27710
Durham County (919) 620-4467

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 Sonya Kothadia's NPI number?

The NPI number for Sonya Kothadia is 1790214047. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Where is Sonya Kothadia located?

Sonya Kothadia practices at 330 Trent Dr, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Sonya Kothadia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sonya Kothadia enrolled in Medicare?

Yes. Sonya Kothadia 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 Sonya Kothadia accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Sonya Kothadia 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 Sonya Kothadia affiliated with any hospitals?

According to CMS data, Sonya Kothadia is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Sonya Kothadia was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.