Individual provider Active NPI

Christian Soneru, MD

  • Otolaryngology Physician
  • Cambridge, MA
National Provider Identifier
1417272410
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
265903 Issued in MA
Practice address
300 Mount Auburn St
308
Cambridge, MA 02138-5600
Phone
(630) 334-0855
Fax
(617) 354-7961
NPI assigned
Apr 1, 2010
Last updated
Aug 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 265903 MA Primary

Addresses

Primary practice location

300 Mount Auburn St
308
Cambridge, MA 02138-5600

Mailing address

300 Mount Auburn St Ste 308
Cambridge, MA 02138-5665
Phone (617) 354-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160830000870 MA Practitioner - Otolaryngology 3072756006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Columbia University College of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

299 Faunce Corner Rd
North Dartmouth, MA 02747-6244
Phone (508) 995-0700

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-8137

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Otolaryngology Otolaryngology CurrentSince Jul 1, 2016 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Pratt Otolaryngology- Head & Neck Surgery Associates Inc Otolaryngology CurrentSince Oct 1, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients
President & Fellows of Harvard College CurrentSince May 1, 2020 Accepting new patients
President and Fellows of Harvard College CurrentSince May 1, 2020 Accepting new patients
Adventist Health Partners,Inc Past Accepting new patients

Locations

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

300 Mount Auburn St
Ste 308
Cambridge, MA 02138
Phone (617) 354-1010

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

299 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 995-0700

Interoperability endpoints

  • Direct secure messaging: csoneru59901@direct.southcoast.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1417272410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST STE 308",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385665",
            "telephone_number": "617-354-1010",
            "fax_number": "617-354-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "308",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "630-334-0855",
            "fax_number": "617-354-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONERU",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "265903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.