Active NPI
Sanjay N Soni, M.D.
- Diagnostic Radiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301094926
- Practice address
- 4201 St Antoine 9C Uhc
Detroit Medical Center
Detroit, MI 48201 - Phone
- (734) 925-6714
- NPI assigned
- Jul 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301094926 | MI | Primary |
Addresses
Primary practice location
4201 St Antoine 9C Uhc
Detroit Medical Center
Detroit, MI 48201
Mailing address
304 Pearson St
Ferndale, MI 48220-1825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
579 W Hawthorne PL
Chicago, IL 60657-2922
Phone (734) 925-6714
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
- Hillcrest Hospital
- Fairview Hospital
- Cleveland Clinic Hospital
- Akron General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301094926 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Rockford Health Physicians | Current | Accepting new patients | |
| Radiology Partners of Iowa Inc | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Cleveland Clinic Health Services Professional Association, Inc | Current | Accepting new patients |
Locations
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
112 E Clark St
Harrisburg, IL 62946
Phone (618) 252-8337
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
205 S Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 292-5200
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414
230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
12029 Sheraton Ln
Springdale, OH 45246
Phone (513) 874-8111
838 Market St
Zanesville, OH 43701
Phone (740) 452-9319
Interoperability endpoints
- sgupta310504@direct.hfhs.org
- sanjaysoni@jph.medalliesdirect.net
Organizations & group practices 7
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.
-
- General Practice Physician
- Cleveland, OH
- NPI 1770082471
IL
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Weston, FL
- NPI 1083644033
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517616000000",
"number": "1659509305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 PEARSON ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 ST ANTOINE 9C UHC",
"address_2": "DETROIT MEDICAL CENTER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "734-925-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONI",
"first_name": "SANJAY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2018-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301094926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2018; 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.