SONALI DALAL TALSANIA M.D.
NPI 1881955276
Ophthalmology in New York, NY

Active since June 03, 2012PECOS EnrolledAccepts Medicare Assignment
635 W 165TH ST, NEW YORK, NY 10032(212) 305-6709(212) 305-5523 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2020, Apr 18, 2020, Aug 29, 2017 (3 updates tracked since 2017).

About Sonali Dalal Talsania M.d. NPPES

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

SONALI DALAL TALSANIA M.D. (NPI 1881955276) is an individual ophthalmology provider in New York, New York, licensed in New York (303046) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Harvard Medical School (2012).

NPPES Registry Identity

NPI1881955276
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSONALI DALAL TALSANIACredential: M.D.
Location Address635 W 165TH STNew York, NY 10032-3724
Mailing Address635 W 165th StNew York, NY 10032-3724 · (212) 305-6709 · Fax (212) 305-5523
Fax(212) 305-5523
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2012
Enumeration DateJune 3, 2012
Last NPPES UpdateMay 19, 20203 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
✔ NPI 1881955276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in NY · 303046✔ Licensed in FL · 132673
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License 132673 (FL)
635 W 165TH ST, New York, NY 10032

Secondary Practice Locations 2

Location 11493 Cambridge StCambridge, MA 02139-1047 · Phone (617) 665-1000
Location 2300 S Park Rd Ste 300Hollywood, FL 33021-8353 · Phone (954) 925-2740

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sonali Dalal Talsania 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 ID7618109513
PECOS Enrollment IDI20200708003074
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sonali Talsania reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
17 services14 patients

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.

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.

Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Psychologist (Clinical)
635 W 165TH ST, 6TH FLOOR
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST, BOX 11
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Psychologist (School)
635 W 165TH ST, ROOM 636A
NEW YORK, NY 10032

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 Sonali Talsania's NPI number?

The NPI number for Sonali Talsania is 1881955276. It was assigned to this individual provider in the NPPES registry on June 3, 2012.

Where is Sonali Talsania located?

Sonali Talsania practices at 635 W 165th St, New York, NY 10032. The listed phone number is (212) 305-6709.

What is Sonali Talsania's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sonali Talsania enrolled in Medicare?

Yes. Sonali Talsania 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.

Which organizations bill Medicare for Sonali Talsania's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonali Talsania reassigns Medicare benefits to 3 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Physician Affiliate Group Of New York PC (New York, NY) and Harlem Medical Associates PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonali Talsania's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sonali Talsania was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.