Sonia Dhingra, M.D.
NPI 1164641478 · Infectious Disease Physician · Grafton, WI
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonia Dhingra, M.D. is a Infectious Disease Physician provider in Grafton, WI (NPI 1164641478).
Provider details
- NPI number
- 1164641478
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 46491 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
428 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 219 | $72 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 108 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 46 | $82 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 38 | $117 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 17 | $155 |
Typical Medicare-allowed amounts for these services range $72–$155 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 123 | 27 |
| Fosfomycin Tromethamine | 93 | 17 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 74 | 19 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 59 | 13 |
| Ciprofloxacin Hcl | 54 | 19 |
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 53 | — |
| Cefadroxil | 51 | 12 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Frequently asked questions
- What is Sonia Dhingra's NPI number?
- Sonia Dhingra's National Provider Identifier (NPI) is 1164641478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonia Dhingra's specialty?
- Sonia Dhingra is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sonia Dhingra located?
- Sonia Dhingra's practice location on file with NPPES is 975 Port Washington Rd, Grafton, WI 53024-9201.
- What is Sonia Dhingra's phone number?
- The practice phone number listed in the NPPES registry for Sonia Dhingra is (262) 329-1000.
- Does Sonia Dhingra accept Medicare?
- Sonia Dhingra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonia Dhingra's NPI active?
- Yes — Sonia Dhingra's NPI (1164641478) is active in the NPPES registry as of the last update on 2021-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.