Sonal Bhalla, M.D.
NPI 1710265350 · Rheumatology Physician · Cincinnati, OH
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonal Bhalla, M.D. is a Rheumatology Physician provider in Cincinnati, OH (NPI 1710265350).
Provider details
- NPI number
- 1710265350
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 35.133026 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
359 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 236 | $120 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 72 | $156 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 51 | $79 |
Typical Medicare-allowed amounts for these services range $79–$156 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 245 | 78 |
| Prednisone | 200 | 86 |
| Methotrexate Sodiumbrand: Methotrexate | 100 | 32 |
| Colchicine | 67 | 30 |
| Gabapentin | 65 | 27 |
| Allopurinol | 64 | 17 |
| Leflunomide | 40 | 12 |
Practice location
Mailing address
Additional practice locations (2)
- 7661 Beechmont Ave Ste 130Cincinnati, OH 45255-4234Phone: (513) 241-2370
- 3310 Mercy Health Blvd Ste 230Cincinnati, OH 45211-1120Phone: (513) 451-6200
Registry dates
- Enumerated
- 2011-08-01
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Frequently asked questions
- What is Sonal Bhalla's NPI number?
- Sonal Bhalla's National Provider Identifier (NPI) is 1710265350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonal Bhalla's specialty?
- Sonal Bhalla is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sonal Bhalla located?
- Sonal Bhalla's practice location on file with NPPES is 4805 Montgomery Rd Ste 210, Cincinnati, OH 45212-2280.
- What is Sonal Bhalla's phone number?
- The practice phone number listed in the NPPES registry for Sonal Bhalla is (513) 241-2370.
- Does Sonal Bhalla accept Medicare?
- Sonal Bhalla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonal Bhalla's NPI active?
- Yes — Sonal Bhalla's NPI (1710265350) is active in the NPPES registry as of the last update on 2024-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.