DR. SONAL RAMESHCHANDRA HAZARIWALA (MD) – Neurology Physician, NPI 1457579492

Neurology Physician

DR. SONAL RAMESHCHANDRA HAZARIWALA (MD) is a healthcare provider. based in Elizabethton, Tennessee. specializing in NEUROLOGY, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. MD70011104 (WA). The NPI Number for DR. SONAL RAMESHCHANDRA HAZARIWALA (MD) is 1457579492

Main info

Female

24 Years Of Experience

Accepts Medicare Assignment

Name

DR. SONAL RAMESHCHANDRA HAZARIWALA (MD)

NPI

1457579492

Phone

(423) 542-1300

Address

1501 W Elk Ave

Enumeration Date

23 April 2007

Last Update Date

1 May 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7707197000

Graduation Year

2002 (24 years ago)

PAC ID

0244326379

Group Practice PAC ID

9830082825

Professional Enrollment ID

I20071019000369

Address ID

GA302144548FA1265XWXXX400

Contacts

SOAP Endpoint

https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience93

Completeness95

Years active:19State licenses:6Other names

609 NEUROLOGY in TN

Provider Addresses for DR. SONAL RAMESHCHANDRA HAZARIWALA (MD)

1501 W Elk Ave
Elizabethton, TN 376432874
Phone: (423) 542-1300
Type: Location
1901 S Shady St Ste 1
Mountain City, TN 376832021
Phone: (423) 727-1103
Type: Location
16000 Johnston Memorial Dr
Abingdon, VA 242117664
Phone: (276) 258-3733
Type: Location
300 Med Tech Pkwy
Johnson City, TN 376042277
Phone: (423) 302-1000
Type: Location
400 N State Of Franklin Rd
Johnson City, TN 376046035
Phone: (423) 431-6111
Type: Location
2000 Brookside Dr
Kingsport, TN 376604627
Phone: (423) 857-7000
Type: Location
19300 SW 65th Ave
Tualatin, OR 970627706
Phone: (503) 692-1212
Type: Location
245 Medical Park Dr
Marion, VA 243541100
Phone: (276) 378-1000
Type: Location
312 Hospital Dr
Clintwood, VA 242286786
Phone: (276) 926-0300
Type: Location
130 W Ravine Rd
Kingsport, TN 376603837
Phone: (423) 224-4000
Type: Location
58 Carroll St
Lebanon, VA 242664510
Phone: (276) 883-8000
Type: Location
851 Locust St
Rogersville, TN 378572407
Phone: (423) 921-7000
Type: Location
100 15ht St NW
Norton, VA 242731616
Phone: (276) 439-1000
Type: Location
1 Medical Park Blvd
Bristol, TN 376207430
Phone: (423) 844-1121
Type: Location
1420 Tusculum Blvd
Greeneville, TN 377454279
Phone: (423) 787-5000
Type: Location
127 Health Care Dr
Pennington Gap, VA 242772853
Phone: (276) 546-5212
Type: Location
1990 Holton Ave E
Big Stone Gap, VA 242193350
Phone: (276) 523-3111
Type: Location
3495 PIEDMONT ROAD, NE
NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone: (404) 364-7070
Fax: (770) 787-8228
Type: Mailing
2400 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Phone: (770) 787-8200
Fax: (770) 787-8228
Type: Location
2400 MOUNT ZION PKWY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 302362500
Phone: (770) 787-8200
Fax: (770) 787-8228
Type: Location
2400 Mount Zion Pkwy
Jonesboro, GA 302362500
Phone: (770) 787-8200
Fax: (770) 787-8228
Type: Location
3495 PIEDMONT RD NE
NINE PIEDMONT CENTER
ATLANTA, GA 303051717
Phone: (404) 364-7070
Fax: (770) 787-8228
Type: Mailing
1265 HIGHWAY 54 W STE 500D
FAYETTEVILLE, GA 302144537
Phone: (770) 506-5410
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (953 days ago).

Enrollment records

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20071019000369	I	Neurology	GA	2023-10-31
I20251128000366	I	Neurology	WA	TBD
I20251128000411	I	Neurology	OR	TBD
I20251222003001	I	Neurology	NC	TBD
I20260127001905	I	Neurology	WI	TBD

What to do next

Verify current status on the CMS Revalidation Lookup Tool immediately.
Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37643)

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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: 9830082825View full group profile

Name	Specialty	State
IBRAHIM WIAH ADAMU (MD)	General Surgery	GA
MRS. ANDREA LOGAN BOSSIE (MS, RN, CNN, FNP-C)	Nurse Practitioner	GA
DR. PAUL ZOLTY (M.D.)	Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine	GA
NANCY ELIZABETH CHRISTENSEN (P.A.-C)	-	GA
MEGAN NAYLOR MASSEY (APRN)	Nurse Practitioner	GA
MRS. KIMBERLY DENISE PEGUES (FNP-C)	-	GA
DR. RANDY WILSON COOPER (M.D.)	General Surgery	GA
DR. MATTHEW SALVATORE PUGLIESE (M.D.)	Surgical Oncology	WA
DR. MALA SHAYKHER KAUL (MD)	R H E U M A T O L O G Y	GA
SETH D WALKER (M.D.)	Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric Medicine	GA

Reviews

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Frequently asked questions

What is the registry number for DR. SONAL RAMESHCHANDRA HAZARIWALA (MD)?

The registry entry for DR. SONAL RAMESHCHANDRA HAZARIWALA (MD) shows NPI 1457579492.

Does the public listing show DR. SONAL RAMESHCHANDRA HAZARIWALA (MD) as active?

DR. SONAL RAMESHCHANDRA HAZARIWALA (MD)'s NPI record reflects an active status in NPPES.

Which specialty label fits DR. SONAL RAMESHCHANDRA HAZARIWALA (MD)?

NPPES ties DR. SONAL RAMESHCHANDRA HAZARIWALA (MD) to Neurology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

What geographic area is tied to DR. SONAL RAMESHCHANDRA HAZARIWALA (MD)?

DR. SONAL RAMESHCHANDRA HAZARIWALA (MD) is associated with Elizabethton, Tennessee in the same public data insurers reference.

Why is information missing for DR. SONAL RAMESHCHANDRA HAZARIWALA (MD)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.