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DR. SATISH K SONDHI M.D.
NPI 1952399529
Internal Medicine - Gastroenterology in Mason City, IA

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
250 S CRESCENT DR, MASON CITY, IA 50401(641) 494-5350(641) 494-5294 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Satish K Sondhi M.d. NPPES

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

DR. SATISH K SONDHI M.D. (NPI 1952399529) is an individual gastroenterology provider in Mason City, Iowa, licensed in Iowa (28450) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Rush Medical College Of Rush University (1985).

NPPES Registry Identity

NPI1952399529
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SATISH K SONDHICredential: M.D.
Location Address250 S CRESCENT DRMason City, IA 50401-2926
Mailing Address250 S Crescent DrMason City, IA 50401-2926 · (641) 494-5400 · Fax (641) 494-5403
Phone(641) 494-5350
Fax(641) 494-5294
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1985
Enumeration DateOctober 7, 2005
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1952399529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IA · 28450
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 28450 (IA)
250 S CRESCENT DR, Mason City, IA 50401
Open in Google Maps ↗

Other Identifiers 1

Medicaid0078261IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Dr. Satish K Sondhi 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 ID6002812070
PECOS Enrollment IDI20061013000565
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

2

Medicare enrollment records show Satish Sondhi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mason City Clinic PC
Same address
Otolaryngology
250 S CRESCENT DR
Mason City, IA 50401
  • Reassigned Medicare billing, Iowa enrollment
  • 65 clinicians in this Medicare group
NPI 1043254055 (800) 622-1411
North Iowa Mercy Clinics
Same address
Cardiovascular Disease
250 S CRESCENT DR
Mason City, IA 50401
  • Reassigned Medicare billing, Iowa enrollment
  • 420 clinicians in this Medicare group
NPI 1801147269 (641) 494-5300

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 10

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
494 services483 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
394 services390 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
153 services151 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
137 services137 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
70 services70 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
61 services59 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Hancock County Health System

Critical Access Hospitals · Britt, IA
OwnershipGovernment - Local
CMS Certification Number161307
Location532 1st St NWBritt, IA 50423 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
79%68 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%192 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
83%164 patients2/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
85%68 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%54 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%137 patients1/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%68 patients4/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
90%61 patients5/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 98% · 44 patients
100%44 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%137 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
24%137 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 68 patients
0%68 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
7%137 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LISA HOLT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5170
DR. RENE RECINOS M.D., PHD
Plastic Surgery
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5360
DR. ANGELA KAYE HARVEY AU.D.
Audiologist
250 S CRESCENT DR, #100
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5180
DR. MICHAEL W CRANE M.D.
Orthopaedic Surgery
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5210
KAITLYN ELIZABETH MCDERMITT PA-C
Physician Assistant
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5400
TRISHA LYNN TIBBITTS ARNP
Nurse Practitioner (Family)
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5360
MASON CITY CLINIC PC
Otolaryngology
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (800) 622-1411
DR. BYRON T BEASLEY MD
Internal Medicine (Cardiovascular Disease)
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5300

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 Satish Sondhi's NPI number?

The NPI number for Satish Sondhi is 1952399529. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Satish Sondhi located?

Satish Sondhi practices at 250 S Crescent Dr, Mason City, IA 50401. The listed phone number is (641) 494-5350.

What is Satish Sondhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Satish Sondhi enrolled in Medicare?

Yes. Satish Sondhi 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 Satish Sondhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Satish Sondhi reassigns Medicare benefits to 2 organizations: Mason City Clinic PC (Mason City, IA) and North Iowa Mercy Clinics (Mason City, IA). 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 Satish Sondhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Satish Sondhi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Satish Sondhi 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 Satish Sondhi affiliated with any hospitals?

According to CMS data, Satish Sondhi is affiliated with Mercyone North Iowa Medical Center and Hancock County Health System.

When was this NPI record last updated?

The NPPES record for Satish Sondhi was last updated on February 13, 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.