Active NPI
Sonam Verma, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 036-145838
- Practice address
- 400 N 9TH St # 4a
Springfield, IL 62702-5310 - Phone
- (217) 545-8000
- Fax
- (217) 545-2303
- NPI assigned
- Nov 6, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-145838 | IL | |
| Clinical Neurophysiology Physician | 2084N0600X | 036-145838 | IL | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 036-145838 | IL | Primary |
Addresses
Primary practice location
400 N 9TH St # 4a
Springfield, IL 62702-5310
Mailing address
PO Box 19661
Springfield, IL 62794-9661
Phone (217) 545-8000
Other practice location 1
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
Other practice location 2
305 W Jackson St Ste 103
Carbondale, IL 62901-1474
Phone (618) 351-4972 ext. 65869
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sonamverma@siusm.allscriptsdirect.net | ||
| Direct Messaging Address | sverma27165@sih.direct-ci.com | ||
| Direct Messaging Address | sverma27165@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-145838 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Mount Sinai Hospital | Past | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- sverma27165@sih.direct-ci.com
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.
-
- Neurological Surgery Physician
- Newyork, NY
- NPI 1558627844
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
Neurology With Special Qualifications in Child Neurology
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1790181402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19661",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949661",
"telephone_number": "217-545-8000",
"fax_number": "217-545-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 9TH ST # 4A",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025310",
"telephone_number": "217-545-8000",
"fax_number": "217-545-2303"
}
],
"practiceLocations": [
{
"address_1": "2601 W Main St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011031",
"country_code": "US",
"telephone_number": "618-549-5361",
"fax_number": "618-351-4878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "305 W Jackson St Ste 103",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011474",
"country_code": "US",
"telephone_number": "618-351-4972 x65869",
"fax_number": "618-351-6522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERMA",
"first_name": "SONAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-145838",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "IL",
"license": "036-145838",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "IL",
"license": "036-145838",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sonamverma@siusm.allscriptsdirect.net",
"affiliation": "N",
"address_1": "400 N 9th St # 4A",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627025310",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sverma27165@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2601 W Main St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011031",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sverma27165@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St Ste 103",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.