Active NPI
Vidushi Soni, MD
- Internal Medicine Physician
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27870
- Practice address
- 14815 N del Webb Blvd
Sun City, AZ 85345 - Phone
- (623) 977-3300
- Fax
- (623) 977-6808
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27870 | AZ | Primary |
Addresses
Primary practice location
14815 N del Webb Blvd
Sun City, AZ 85345
Mailing address
14815 N del Webb Blvd
Sun City, AZ 85345
Phone (623) 977-3300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z69231 | Other | AZ | MEDICARE |
| 110235115 | Other | RAILROAD MEDICARE | |
| 560848 | Medicaid | AZ | |
| 0896550 | Other | AZ | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27870 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care Az PC | Internal Medicine | Past | Accepting new patients |
| Centerwell Senior Primary Care Az PC | Internal Medicine | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Destiny Springs Healthcare LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) General Partnership Interest (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Nov 30, 2020 Nov 30, 2020 Nov 30, 2020 Nov 30, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Psychiatric Hospital
- Surprise, AZ
- NPI 1467947101
5% Or Greater Direct Ownership Interest, General Partnership Interest, Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 3
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.
-
dba CenterWell Senior Primary Care-Alhambra
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1063169316
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1497401830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1306924246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14815 N DEL WEBB BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "85345",
"telephone_number": "623-977-3300",
"fax_number": "623-977-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14815 N DEL WEBB BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "85345",
"telephone_number": "623-977-3300",
"fax_number": "623-977-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONI",
"first_name": "VIDUSHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "27870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z69231",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110235115",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "560848",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0896550",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.