Sonia C Mehta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036089016 Issued in IL

Practice address

360 Station Dr
Crystal Lake, IL 60014

Phone

(815) 338-6600

Fax

(815) 455-8044

NPI assigned

Jul 17, 2006

Last updated

Oct 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.19 of 100Reported as apm

Quality

83.05

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bridgton Hospital

  • Critical Access Hospital
  • Bridgton, ME
  • NPI 1154370153

  Corporate Director

  CMS ownership
• Bridgton Hospital

  dba Bridgton Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Bridgton, ME
  • NPI 1477691467

  Corporate Director

  CMS ownership
• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487

  Corporate Director

  CMS ownership
• Prime Healthcare Services Lower Bucks LLC

  dba Lower Bucks Hospital

  • General Acute Care Hospital
  • Bristol, PA
  • NPI 1528319621

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Prime Healthcare Services Roxborough LLC

  dba Roxborough Memorial Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1083986129

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Prime Healthcare Services Roxborough LLC

  dba Roxborough Memorial Hospital

  • Psychiatric Hospital Unit
  • Philadelphia, PA
  • NPI 1093087157

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Prime Healthcare Services Roxborough LLC

  dba Roxborough Memorial Hospital

  • Rehabilitation Hospital Unit
  • Philadelphia, PA
  • NPI 1730451899

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Rumford Community Family Health Center, Inc.

  dba Swift River Family Medicine

  • Rural Health Clinic/Center
  • Rumford, ME
  • NPI 1578599775

  Corporate Director

  CMS ownership
• Rumford Community Family Health Center, Inc.

  dba Elsemore Dixfield Family Medicine

  • Rural Health Clinic/Center
  • Dixfield, ME
  • NPI 1902841083

  Corporate Director

  CMS ownership
• Rumford Hospital

  • Critical Access Hospital
  • Rumford, ME
  • NPI 1205991122

  Corporate Director

  CMS ownership
• Rumford Hospital

  dba Rumford Hospital Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Rumford, ME
  • NPI 1982742482

  Corporate Director

  CMS ownership

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.

• Northwestern Medical Faculty Foundation

  dba Northwestern Medical Group

  • Multi-Specialty Clinic/Center
  • Carol Stream, IL
  • NPI 1346235314
  Medicare reassignment Care Compare group NPD
• Northwestern Medical Faculty Foundation

  dba Northwestern Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1417718479
  NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1265459895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATION DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147978",
            "telephone_number": "815-338-6600",
            "fax_number": "815-455-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATION DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-338-6600",
            "fax_number": "815-455-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Central",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600056591",
            "country_code": "US",
            "telephone_number": "847-459-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 Haligus Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429545",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-455-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Huntley Rd",
            "address_purpose": "LOCATION",
            "city": "West Dundee",
            "state": "IL",
            "postal_code": "601189301",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "847-426-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2507 N Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600515407",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-385-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SONIA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C50678",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "37485",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-089016",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036089016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LICENSE",
            "identifier": "036089016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medicinal Chiropractic LLC
• Mediplant Funding Inc
• Meditech Med Supply Co
• Amber Nicole Meeke, LCSW, CADC, CODP
• Smruti Mehta
• Mej & Associates Enterprises LLC (Fox River Oral and Maxillofacial Surgery)
• Kasey Marie Melendy, LSW
• Georgette Melus, COTA/L
• Alicia Ana Mendoza
• Michael A Menis, DDS

• Internal Medicine Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.