Jeffrey Robert Sonntag, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

02005363A Issued in IN

Practice address

2310 California Rd Ste a
Elkhart, IN 46514-1228

Phone

(574) 264-0791

NPI assigned

Jun 26, 2012

Last updated

Dec 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Orthopedic Surgery

Education

Michigan State University College of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Sports Medicine Center of Northern Indiana IncGroup PAC ID 0840260105, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
• Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
• Goshen Hospital Hospital, Goshen, IN, CCN 150026
• Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
• Parkview Lagrange Hospital Hospital, Lagrange, IN, CCN 151323

Merit-based Incentive Payment System (MIPS)

Final score

81.85 of 100Reported as group

Quality

59.71

Promoting interoperability

90

Improvement activities

40

Cost

88.11

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.sonntag@direct.osmc.nextgenshare.com
• Direct secure messaging: jsonntag359588@direct.hfhs.org

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.

• Orthopedic and Sports Medicine Center of Northern Indiana, Inc

  dba Osmc

  • Orthopaedic Surgery Physician
  • Elkhart, IN
  • NPI 1710085253
  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Medicine Center of Northern Indiana Inc

  dba Osmc

  • Durable Medical Equipment & Medical Supplies
  • Granger, IN
  • NPI 1962170357
  NPD
• ASC Surgical Ventures, LLC

  dba OSMC Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Elkhart, IN
  • NPI 1083715148
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of Lagrange County Inc

  dba Parkview LaGrange Hospital

  • Critical Access Hospital
  • Lagrange, IN
  • NPI 1679674956
  Care Compare affiliation
• Elkhart General Hospital, Inc.

  • General Acute Care Hospital
  • Elkhart, IN
  • NPI 1477551489
  Care Compare affiliation
• Goshen Hospital Association Inc

  • General Acute Care Hospital
  • Goshen, IN
  • NPI 1740268846
  Care Compare affiliation
• Memorial Hospital of South Bend

  • General Acute Care Hospital
  • South Bend, IN
  • NPI 1295772093
  Care Compare affiliation
• Memorial Hospital of South Bend

  dba Memorial Epworth Center

  • Psychiatric Hospital Unit
  • South Bend, IN
  • NPI 1376841395
  Care Compare affiliation
• Memorial Hospital of South Bend

  dba Beacon Granger Hospital, A Memorial Hospital Extension

  • General Acute Care Hospital
  • Granger, IN
  • NPI 1881177756
  Care Compare affiliation
• Three Rivers Health System, Inc

  dba Three Rivers Health

  • General Acute Care Hospital
  • Three Rivers, MI
  • NPI 1568739423
  Care Compare affiliation

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1467716225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 CALIFORNIA RD STE A",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141228",
            "telephone_number": "574-264-0791",
            "fax_number": "574-262-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CALIFORNIA RD STE A",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141228",
            "telephone_number": "574-264-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNTAG",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R2019",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101019939",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02005363A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300017400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor So
• Carolyn Sohlke
• Solidago Therapy
• Anthony A Sommer, MS LMHC
• Jessica Sonnenburg, BCBA
• Shirley B. Souder, M.S.W.
• Spa, Inc. (SPA Women's Ministry Homes)
• Spine Sports and Industrial Rehabilitation of Elkhart (SSIR of Elkhart)
• Brooklyn Spirito, LMHC, NCC
• Springer Dental Care LLC

• Orthopaedic Surgery Physician in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.