Individual provider Active NPI

Sanjay N Soni, M.D.

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1659509305
Registry record updated Feb 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301094926 Issued in MI
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

Updated by the provider on Feb 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160129001703 IL Practitioner - Diagnostic Radiology 6204053507 Reassigns benefits to 6 organizations
I20170320001364 OH Practitioner - Diagnostic Radiology 6204053507 Reassigns benefits to 1 organization

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 Hospital, Stuart, FL, CCN 100044
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094926MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Park Hospital Foundation Current Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jun 17, 2018 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Rockford Health Physicians CurrentSince Jul 1, 2016 Accepting new patients
Radiology Partners of Iowa Inc Diagnostic Radiology CurrentSince May 12, 2017 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Feb 25, 2017 Accepting new patients
Cleveland Clinic Health Services Professional Association, Inc CurrentSince Aug 24, 2022 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

  • Direct secure messaging: sgupta310504@direct.hfhs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.