Individual provider Active NPI

Christopher Eduard Sonntag, MD

  • Rheumatology Physician
  • Fayetteville, AR
National Provider Identifier
1417454620
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
E-17047 Issued in AR
Practice address
3276 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone
(479) 404-2300
Fax
(479) 404-2301
NPI assigned
Apr 12, 2018
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X E-17047 AR Primary

Addresses

Primary practice location

3276 N Northhills Blvd
Fayetteville, AR 72703-4005

Mailing address

PO Box 550
Lowell, AR 72745-0550
Phone (479) 404-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20230925000035 AR Practitioner - Internal Medicine 9537544820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3276 N N Hills Blvd
Washington Regional Rheumatology
Fayetteville, AR 72703-4005
Phone (479) 463-3070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Aug 17, 2023 Accepting new patients
Washington Regional Medical System Rheumatology CurrentSince Aug 17, 2023 Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

1125 N College Ave
#100
Fayetteville, AR 72703
Phone (479) 713-8310

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

3276 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 442-7030

Interoperability endpoints

  • Direct secure messaging: christopher.sonntag.1@9000.direct.athenahealth.com
  • Direct secure messaging: christophersonntag@wrms.allscriptsdirect.net
  • Direct secure messaging: csonntag40532@washingtonregional.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1417454620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727450550",
            "telephone_number": "479-404-2300",
            "fax_number": "479-404-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3276 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-404-2300",
            "fax_number": "479-404-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNTAG",
        "first_name": "CHRISTOPHER",
        "middle_name": "EDUARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AR",
            "license": "E-17047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.