Active NPI
Mrugesh Indubhai Soni, MD
- Interventional Cardiology Physician
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 0101261350
- Practice address
- 12720 McManus Blvd Ste 201
Newport News, VA 23602-4486 - Phone
- (757) 875-5332
- Fax
- (757) 806-6345
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 206144 | LA | |
| Interventional Cardiology Physician | 207RI0011X | 206144 | LA | |
| Interventional Cardiology Physician | 207RI0011X | 0101261350 | VA | Primary |
Addresses
Primary practice location
12720 McManus Blvd Ste 201
Newport News, VA 23602-4486
Mailing address
860 Omni Blvd Ste 101
Newport News, VA 23606-4430
Phone (757) 232-8769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2337891 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12720 McManus Blvd
Suite 201
Newport News, VA 23602-4486
Phone (757) 875-5332
2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6877
704 Thimble Shoals Blvd
300A
Newport News, VA 23606-4554
Phone (757) 595-4300
860 Omni Blvd
Newport News, VA 23606-4430
Hospital & facility affiliations
- Mary Immaculate Hospital
- Bon Secours Maryview Medical Center
- Sentara Williamsburg Regional Medical Center
- Sentara Norfolk General Hospital
- Bon Secours Southampton Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206144 | LA | MD | Cardiovascular Disease Physician |
| 0101261350 | VA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients | |
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients |
Locations
860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777
860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794
729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077
704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300
827 Diligence Dr
Ste 100
Newport News, VA 23606
860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138
12720 McManus Blvd
Ste 201
Newport News, VA 23602
Phone (757) 875-5332
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Newport News, VA
- NPI 1902848294
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, VA
- NPI 1851936983
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1427064310
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1508028937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 OMNI BLVD STE 101",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064430",
"telephone_number": "757-232-8769",
"fax_number": "757-232-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12720 MCMANUS BLVD STE 201",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236024486",
"telephone_number": "757-875-5332",
"fax_number": "757-806-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONI",
"first_name": "MRUGESH",
"middle_name": "INDUBHAI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "206144",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "LA",
"license": "206144",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101261350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2337891",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.