Individual provider Active NPI

David F. Sonego, M.D.

  • Psychiatry Physician
  • Mishawaka, IN
National Provider Identifier
1861496432
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01038008A Issued in IN
Practice address
230 E Day Rd
# 160
Mishawaka, IN 46545-3463
Phone
(574) 271-8222
Fax
(574) 271-8896
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01038008A IN Primary

Addresses

Primary practice location

230 E Day Rd
# 160
Mishawaka, IN 46545-3463

Mailing address

230 E Day Rd
# 160
Mishawaka, IN 46545-3463
Phone (574) 271-8222

Other identifiers 1

IdentifierTypeStateIssuer
01038008AOtherINPHYSICIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20111020000509 IN Practitioner - Psychiatry 1951327501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Louisville School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David F Sonego MD PC and AssociatesGroup PAC ID 6406872050, 2 clinicians

Practice addresses (Care Compare)

230 E Day Rd
Suite 160
Mishawaka, IN 46545-3463
Phone (574) 271-8222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038008AINMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: david.sonego@3919.securemail.mdnavigatorclinical.com

Organizations & group practices 1

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1861496432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "# 160",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453463",
            "telephone_number": "574-271-8222",
            "fax_number": "574-271-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "# 160",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453463",
            "telephone_number": "574-271-8222",
            "fax_number": "574-271-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONEGO",
        "first_name": "DAVID",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01038008A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN",
            "identifier": "01038008A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.