Individual provider Active NPI

Devendra Soni, M.D.

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1629006002
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27826 Issued in AZ
Practice address
14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone
(623) 977-3300
Fax
(623) 977-6808
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27826 AZ Primary

Addresses

Primary practice location

14815 N del Webb Blvd
Sun City, AZ 85351-2145

Mailing address

14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (623) 977-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060816000305 AZ Practitioner - Internal Medicine 9739182593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (623) 977-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27826AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
D & V Soni MD PC Internal Medicine CurrentSince Apr 1, 2002 Accepting new patients
Sun Valley Internists LLC PastSince Aug 21, 2001 Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine Past Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine Past Accepting new patients
Onkar S Bhowra MD PC Internal Medicine Past Accepting new patients
Tbird Hospitalist Group, LLC Internal Medicine Past Accepting new patients

Locations

6015 W Peoria Ave
Glendale, AZ 85302
Phone (480) 345-5420

14815 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 745-6015

14815 N Del Webb Blvd
#1
Sun City, AZ 85351
Phone (602) 977-3300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1629006002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512145",
            "telephone_number": "623-977-3300",
            "fax_number": "623-977-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512145",
            "telephone_number": "623-977-3300",
            "fax_number": "623-977-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "DEVENDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.