Sonali Kiran Judd, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME91259 Issued in FL

Practice address

4728 N Habana Ave
Suite 202
Tampa, FL 33614-7100

Phone

(813) 876-9553

Fax

(813) 877-4109

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sonali Kiran Patel Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Family Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

South Dade Primary Care LLCGroup PAC ID 6002835360, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• South Dade Primary Care, LLC

  dba Claremedica Viking of North Florida

  • Family Medicine Physician
  • Miami, FL
  • NPI 1285748285
  Medicare reassignment Care Compare group
• Claremedica Viking LLC

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1992520118
  Medicare reassignment NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1609886373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152557",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336842557",
            "telephone_number": "813-876-9553",
            "fax_number": "813-877-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 N HABANA AVE",
            "address_2": "SUITE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147100",
            "telephone_number": "813-876-9553",
            "fax_number": "813-877-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "SONALI",
        "middle_name": "KIRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052602910",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONALI",
            "last_name": "PATEL",
            "middle_name": "KIRAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juanita Miller
• Ana Julia Juarez, MD
• Carey Layne Juarez
• Samantha Judd
• Scott D Judd, MD
• Lynette Judge
• April Judice, B.A
• Judith's Assisted Living Facility, Inc (dba YUDITH'S ASSISTED LIVING FACILITY II)
• Judith's Assisted Living Facility, Inc (Yudith's Alf)
• Tristen Judy, MSW

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.