Behram R Soonawala, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A64516 Issued in CA

Practice address

1510 4TH St
Suite 1
Berkeley, CA 94710-1717

Phone

(510) 525-8980

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Aretaeus Telemedicine Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Santa Rosa, CA
  • NPI 1548490261
  NPD
• Inpatient Consultants of California, Inc.

  • Hospitalist Physician
  • Berkely, CA
  • NPI 1831134253

  Internal Medicine

  NPD (past)
• North Coast Faculty Medical Group Inc

  • Otolaryngology Physician
  • Sebastopol, CA
  • NPI 1750616512
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1104895085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 4TH ST",
            "address_2": "SUITE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101717",
            "telephone_number": "510-525-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 4TH ST",
            "address_2": "SUITE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101717",
            "telephone_number": "510-525-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOONAWALA",
        "first_name": "BEHRAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A645160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Song
• Hanna Song
• Phoenix Song, LMFT
• Xiaoxia Song
• Susan Sonoda, PT
• Stephen Sooter, MS, RAS
• Sophia N. Mirviss, M.D., Inc.
• John Russell Sordean, OMD LAC ND
• Soreeyes Enterprises, Inc.
• Sharon Sorensen, D.C.

• Internal Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.