Individual provider Active NPI

Sonali Nanda, MD

  • Dermatology Physician
  • Charlottesville, VA
National Provider Identifier
1871121848
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
38351 Issued in OK
Practice address
600 Peter Jefferson Pkwy Ste 310
Charlottesville, VA 22911-8836
Phone
(434) 977-0027
Fax
(434) 923-3376
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 38351 OK Primary

Addresses

Primary practice location

600 Peter Jefferson Pkwy Ste 310
Charlottesville, VA 22911-8836

Mailing address

600 Peter Jefferson Pkwy Ste 310
Charlottesville, VA 22911-8836
Phone (434) 977-0027

Other practice location 1

619 NE 13th St
Oklahoma City, OK 73104-5001
Phone (405) 271-6110

Other practice location 2

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 686-2549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250723001758 VA Practitioner - Dermatology 8729486220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Charlottesville PLCGroup PAC ID 8820004039, 4 clinicians

Practice addresses (Care Compare)

600 Peter Jefferson Pkwy
Suite 310
Charlottesville, VA 22911-8836
Phone (434) 977-0027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision57
Removal of skin lesions1-10
Removal of skin cancer557
Skin biopsy13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Charlottesville, PLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

600 Peter Jefferson Pkwy
Ste 310
Charlottesvle, VA 22911
Phone (434) 977-0027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1871121848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 310",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118836",
            "telephone_number": "434-977-0027",
            "fax_number": "434-923-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 310",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118836",
            "telephone_number": "434-977-0027",
            "fax_number": "434-923-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045001",
            "country_code": "US",
            "telephone_number": "405-271-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 N Country Rd",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772119",
            "country_code": "US",
            "telephone_number": "631-686-2549",
            "fax_number": "631-686-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANDA",
        "first_name": "SONALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "38351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.