Individual provider Active NPI

Sonali Shah

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1033504055
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA10580100 Issued in NJ
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 342-5525
NPI assigned
Apr 6, 2015
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 25MA10580100 NJ Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

5 Laurel LN
Old Westbury, NY 11568-1542

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201113000875 NY Practitioner - Anesthesiology 8820336654
I20210510002295 CA Practitioner - Anesthesiology 8820336654 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of Ny Upstate Medical University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

9095 Rio San Diego Dr
Suite 100
San Diego, CA 92108-1680
Phone (619) 819-4524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Innovative Anesthesia Consultants PC Anesthesiology CurrentSince Jun 20, 2021 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 10, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 10, 2021 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Oct 16, 2020 Accepting new patients
Sound Physicians Anesthesiology of California PC Anesthesiology CurrentSince Jan 16, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
City of Hope Medical Foundation Anesthesiology CurrentSince Jul 17, 2023 Accepting new patients

Locations

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

9095 Rio San Diego Dr
Ste 100
San Diego, CA 92108
Phone (619) 819-4524

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sshah605306@direct.llu.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1033504055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAUREL LN",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-342-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SONALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2021-11-22",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA10580100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.