Sonya Kothadia, MD, MPH
NPI 1790214047 · Infectious Disease Physician · Durham, NC
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonya Kothadia, MD, MPH is a Infectious Disease Physician provider in Durham, NC (NPI 1790214047).
Provider details
- NPI number
- 1790214047
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
379 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 50 Minutes99233 | 216 | $106 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 42 | $60 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 40 | $146 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 35 | $90 |
| 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 | 31 | $15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Cephalexin | 16 |
| Doxycycline Monohydrate | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude 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 no Part D record, 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.
Practice location
Mailing address
Additional practice locations (2)
- 1650 W Harrison St # 466Chicago, IL 60612-3800Phone: (312) 942-5000
- 9500 Euclid Ave # Mailg-21Cleveland, OH 44195-3800Phone: (216) 444-9043
Registry dates
- Enumerated
- 2017-06-09
- Last updated
- 2023-08-21
- Certified
- 2023-06-12
Frequently asked questions
- What is Sonya Kothadia's NPI number?
- Sonya Kothadia's National Provider Identifier (NPI) is 1790214047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonya Kothadia's specialty?
- Sonya Kothadia is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sonya Kothadia located?
- Sonya Kothadia's practice location on file with NPPES is 330 Trent Dr, Durham, NC 27710-3800.
- What is Sonya Kothadia's phone number?
- The practice phone number listed in the NPPES registry for Sonya Kothadia is (919) 684-8111.
- Does Sonya Kothadia accept Medicare?
- Sonya Kothadia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonya Kothadia's NPI active?
- Yes — Sonya Kothadia's NPI (1790214047) is active in the NPPES registry as of the last update on 2023-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.