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SOFINA BALI
NPI 1922547629
Internal Medicine in Lilburn, GA

Active since February 15, 2017PECOS Enrolled
89.52/100
CMS Quality Rating
4627 CEDAR WOOD DR SW, LILBURN, GA 30047(404) 368-9305 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2024, Feb 15, 2017 (2 updates tracked since 2017).

About Sofina Bali NPPES

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

SOFINA BALI (NPI 1922547629) is an individual internal medicine provider in Lilburn, Georgia, licensed in New York (306581) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1922547629
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSOFINA BALI
Location Address4627 CEDAR WOOD DR SWLilburn, GA 30047-4289
Mailing Address4627 Cedar Wood Dr SwLilburn, GA 30047-4289 · (404) 368-9305
Phone(404) 368-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 15, 2017
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1922547629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 306581
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4627 CEDAR WOOD DR SW, Lilburn, GA 30047
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sofina Bali is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931444247
PECOS Enrollment IDI20260107003623
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 Reassignment

Medicare enrollment records show Sofina Bali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital Physician Services - Southeast Professional Corporation
21 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia enrollment
  • 777 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

89.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.34
Promoting Interoperability79
Improvement Activities40
Cost73.91

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers11 claims11 services$14.88 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
3 suppliers12 claims12 services$67.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sofina Bali's NPI number?

The NPI number for Sofina Bali is 1922547629. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Sofina Bali located?

Sofina Bali practices at 4627 Cedar Wood Dr SW, Lilburn, GA 30047. The listed phone number is (404) 368-9305.

What is Sofina Bali's specialty?

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

Is Sofina Bali enrolled in Medicare?

Yes. Sofina Bali is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sofina Bali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofina Bali reassigns Medicare benefits to Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). The 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 Sofina Bali'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 Sofina Bali was last updated on April 5, 2024. 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.