Individual provider Active NPI

Elizabeth Marie Sonnenberg, M.D.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1194136978
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD460661 Issued in PA
Practice address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone
(215) 590-2730
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD460661 PA Primary

Addresses

Primary practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231017002931 PA Practitioner - General Surgery 4688078579 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Perelman School of Med at the University of Pennsylvania, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, shared by 15 NPIs, 3,433 clinicians
Children'S Surgical Associates LTDGroup PAC ID 9739083494, 53 clinicians

Practice addresses (Care Compare)

1501 N Cedar Crest Blvd
110 Penn Medicine Gi Transplant Lehigh Vall
Allentown, PA 18104-2309
Phone (215) 662-6200

3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (267) 425-9505

501 S 54TH St
Philadelphia, PA 19143-1900
Phone (215) 615-4949

Hospital & facility affiliations

  • Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD460661PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Surgery CurrentSince Sep 1, 2023 Accepting new patients
Children'S Surgical Associates LTD Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Children'S Surgical Associates, LTD CurrentSince Apr 25, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 1, 2023 Accepting new patients
University of Penn-Medical Group Surgery CurrentSince Sep 1, 2023 Accepting new patients
Children'S Surgical Associates LTD CurrentSince Apr 25, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Sep 1, 2023 Accepting new patients
University of Penn-Medical Group Surgery CurrentSince Sep 1, 2023 Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Children'S Surgical Associates LTD Surgery Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Surgery Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1501 N Cedar Crest Blvd
Ste 110
Allentown, PA 18104
Phone (610) 821-2828

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214

301 S 7th Ave
Ste 3120
West Reading, PA 19611
Phone (484) 628-2445

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1194136978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "215-590-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "215-590-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNENBERG",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2023-11-09",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD460661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.