DR. AMBICA SONI (MD) – Family Medicine Physician, NPI 1114191079

DR. AMBICA SONI (MD) is a healthcare provider. based in Davenport, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 247497 (MA). The NPI Number for DR. AMBICA SONI (MD) is 1114191079

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMBICA SONI (MD)
NPI
1114191079
Phone
(863) 588-4775
Address
2217 NORTH BLVD W
Enumeration Date
22 April 2008
Last Update Date
27 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8635884775
Graduation Year
2008 (18 years ago)
PAC ID
2567634710
Group Practice PAC ID
8224274840
Professional Enrollment ID
I20130425000715
Address ID
FL338054615LA515XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. AMBICA SONI (MD)

  • 2217, North Boulevard West, Haines City, Polk County, Florida, 33837, United States

    SUITE B

    DAVENPORT, FL 338378990

    Phone: (863) 588-4775

    Fax: (863) 422-7664

    Type: Mailing

  • PO BOX 878

    DAVENPORT, FL 338360878

    Phone: (689) 223-3898

    Fax: (689) 223-3898

    Type: Mailing

  • 106 PARK PLACE BLVD STE C

    DAVENPORT, FL 338376868

    Phone: (863) 588-4775

    Fax: (863) 422-7664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $449.

Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($109).

Total Amount

$449

General + Research + Ownership

Payments

24

Total payment records

General Amount

$449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130425000715IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1,076503$0
99214Established patient office or other outpatient visit, 30-39 minutes791465$0
36415Insertion of needle into vein for collection of blood sample550299$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit343343$0
G0444Annual depression screening, 5 to 15 minutes141141$0
View full utilization report →

Insurance plans in this area (ZIP 33837)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224274840View full group profile
NameSpecialtyState
General PracticeFL
General PracticeFL

Reviews

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Frequently asked questions

Does DR. AMBICA SONI (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. AMBICA SONI (MD) uses 1114191079.
Does CMS list DR. AMBICA SONI (MD) as active?
Yes — DR. AMBICA SONI (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. AMBICA SONI (MD)?
For research purposes, treat DR. AMBICA SONI (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. AMBICA SONI (MD) based?
DR. AMBICA SONI (MD) is tied to Davenport, Florida in the data we show; additional addresses may exist on the full record.
Why does DR. AMBICA SONI (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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