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MRS. SONAL RAJ DOSHI ACNP
NPI 1972844199
Nurse Practitioner - Acute Care in Saint Louis, MO

Active since March 13, 2013PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
621 S NEW BALLAS RD STE 598A, SAINT LOUIS, MO 63141(314) 251-3380(314) 251-3385 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2018).

About Mrs. Sonal Raj Doshi Acnp NPPES

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

MRS. SONAL RAJ DOSHI ACNP (NPI 1972844199) is an individual acute care provider in Saint Louis, Missouri, licensed in Missouri (2013003435) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1972844199
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. SONAL RAJ DOSHICredential: ACNP
Location Address621 S NEW BALLAS RD STE 598ASaint Louis, MO 63141-8262
Mailing Address621 S New Ballas Rd Ste 598aSaint Louis, MO 63141-8262 · (314) 251-3380 · Fax (314) 251-3385
Phone(314) 251-3380
Fax(314) 251-3385
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 13, 2013
Last NPPES UpdateJune 11, 20265 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1972844199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2013003435
621 S NEW BALLAS RD STE 598A, Saint Louis, MO 63141
Open in Google Maps ↗

Other Identifiers 1

Medicaid420009014MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Mrs. Sonal Raj Doshi Acnp 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 ID2062649718
PECOS Enrollment IDI20131230000962
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.

Daily hospital management of continuous spinal drug administration 01996
Continuous spinal drug administration is a hospital procedure where medication is delivered directly into the spinal fluid through a small tube. It helps manage pain or other conditions. Daily hospital management involves monitoring for effectiveness and any potential side effects.
185 services92 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.
47 services42 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.
37 services30 patients

Hospital Affiliations CMS Care Compare

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES

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

MARC J BERNSTEIN M.D.
Internal Medicine (Gastroenterology)
621 S NEW BALLAS RD STE 598A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-3380

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 Sonal Doshi's NPI number?

The NPI number for Sonal Doshi is 1972844199. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Sonal Doshi located?

Sonal Doshi practices at 621 S New Ballas Rd Ste 598A, Saint Louis, MO 63141. The listed phone number is (314) 251-3380.

What is Sonal Doshi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sonal Doshi enrolled in Medicare?

Yes. Sonal Doshi 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 Sonal Doshi accept?

Health plans from Oscar Insurance Company list Sonal Doshi 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 Sonal Doshi affiliated with any hospitals?

According to CMS data, Sonal Doshi is affiliated with Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Sonal Doshi was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.