Individual provider Active NPI

Sreepadma Priya Sonty, M.D., PH.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Doral, FL
National Provider Identifier
1154559045
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
133687 Issued in FL
Practice address
8875 NW 23Rd St
Doral, FL 33172-2419
Phone
(305) 653-5155
Fax
(305) 653-5513
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 539604 TX
Clinical Neurophysiology Physician 2084N0600X 28170 FL
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 133687 FL Primary

Addresses

Primary practice location

8875 NW 23Rd St
Doral, FL 33172-2419

Mailing address

8875 NW 23Rd St
Doral, FL 33172-2419
Phone (786) 389-0826

Other practice location 1

3100 SW 62nd Ave
Miami, FL 33155-3009
Phone (647) 973-8171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180328001858 FL Practitioner - Neurology 5294097481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Northwestern University Feinberg Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Design Neuroscience Center PLGroup PAC ID 9032110192, 23 clinicians

Practice addresses (Care Compare)

14400 NW 77TH CT
Suite 306
Miami Lakes, FL 33016-1592
Phone (305) 653-5155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
539604TXMDNeurology Physician
133687FLMDNeurology with Special Qualifications in Child Neurology Physician
28170FLMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Design Neuroscience Center PL CurrentSince Nov 26, 2017 Accepting new patients
Integrated Specialty Alliance LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

8875 NW 23rd St
Doral, FL 33172
Phone (305) 653-5155

21110 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 653-5155

14400 NW 77th Ct
Ste 306
Miami Lakes, FL 33016
Phone (305) 653-5155

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154559045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 NW 23RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722419",
            "telephone_number": "786-389-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 NW 23RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722419",
            "telephone_number": "305-653-5155",
            "fax_number": "305-653-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553009",
            "country_code": "US",
            "telephone_number": "647-973-8171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONTY",
        "first_name": "SREEPADMA",
        "middle_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "539604",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "28170",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "133687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.