Sushant Soni, MD
NPI 1619464203 · Pulmonary Disease Physician · Rancho Mirage, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushant Soni, MD is a Pulmonary Disease Physician provider in Rancho Mirage, CA (NPI 1619464203).
Provider details
- NPI number
- 1619464203
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A173669 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 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
449 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 123 | $134 |
| Critical Care, First 30-74 Minutes99291 | 78 | $211 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 57 | $98 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 54 | $10 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 50 | $9 |
| Test to Determine Lung Volumes Using Sensors94726 | 48 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 41 | 26 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 22 | 16 |
| Montelukast Sodium | 12 | — |
| Azelastine Hcl | 11 | — |
| Pantoprazole Sodium | 11 | — |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$113 across 1 record (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
- 2018-04-18
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is Sushant Soni's NPI number?
- Sushant Soni's National Provider Identifier (NPI) is 1619464203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushant Soni's specialty?
- Sushant Soni is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sushant Soni located?
- Sushant Soni's practice location on file with NPPES is 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221.
- What is Sushant Soni's phone number?
- The practice phone number listed in the NPPES registry for Sushant Soni is (760) 834-3564.
- Does Sushant Soni accept Medicare?
- Sushant Soni is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushant Soni's NPI active?
- Yes — Sushant Soni's NPI (1619464203) is active in the NPPES registry as of the last update on 2024-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.