Sonia Bajaj, MD
NPI 1255327789 · Rheumatology Physician · Crowley, TX
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonia Bajaj, MD is a Rheumatology Physician provider in Crowley, TX (NPI 1255327789).
Provider details
- NPI number
- 1255327789
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M7021 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,015 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 597 | $124 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 297 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 64 | $160 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $90 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 17 | $14 |
Typical Medicare-allowed amounts for these services range $14–$160 (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 · 49 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 1,292 | 387 |
| Methotrexate Sodiumbrand: Methotrexate | 840 | 223 |
| Prednisone | 438 | 175 |
| Leflunomide | 287 | 105 |
| Gabapentin | 278 | 101 |
| Folic Acid | 233 | 79 |
| Adalimumabbrand: Humira(cf) Pen | 223 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,531 across 60 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2023-05-30
- Certified
- 2023-05-30
Frequently asked questions
- What is Sonia Bajaj's NPI number?
- Sonia Bajaj's National Provider Identifier (NPI) is 1255327789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonia Bajaj's specialty?
- Sonia Bajaj is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sonia Bajaj located?
- Sonia Bajaj's practice location on file with NPPES is 795 E Fm 1187 Ste a, Crowley, TX 76036-4346.
- What is Sonia Bajaj's phone number?
- The practice phone number listed in the NPPES registry for Sonia Bajaj is (817) 293-9631.
- Does Sonia Bajaj accept Medicare?
- Sonia Bajaj is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonia Bajaj's NPI active?
- Yes — Sonia Bajaj's NPI (1255327789) is active in the NPPES registry as of the last update on 2023-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.