Active NPI
Michael Andrew Sonnenberg, MD
- Diagnostic Radiology Physician
- Pensacola, FL
National Provider Identifier
1801002324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME122246
- Practice address
- 5151 N 9TH Ave
Pensacola, FL 32504-8721 - Phone
- (850) 416-6020
- NPI assigned
- May 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301086534 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | ME122246 | FL | Primary |
Addresses
Primary practice location
5151 N 9TH Ave
Pensacola, FL 32504-8721
Mailing address
PO Box 9210
Pensacola, FL 32513-9210
Phone (850) 476-8602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014670700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7800 US Hwy 98 W
Miramar Beach, FL 32550-7228
Phone (850) 278-3556
Hospital & facility affiliations
- Sacred Heart Hospital on the Emerald Coast
- Sacred Heart Hospital
- Ascension Sacred Heart Gulf
- Ascension Sacred Heart Bay
- North Okaloosa Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301086534 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destin Regional Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Destin Regional Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Miramar Beach, FL
- NPI 1134116726
-
- Diagnostic Radiology Physician
- Watersound, FL
- NPI 1538807656
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1801002324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9210",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325139210",
"telephone_number": "850-476-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048721",
"telephone_number": "850-416-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNENBERG",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301086534",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME122246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014670700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.