SONALI A HERATH (PA) – Medical Physician Assistant, NPI 1366083693
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PHYSICIAN ASSISTANT in VT
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Provider Addresses for SONALI A HERATH (PA)
University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States
BURLINGTON, VT 054011473
Phone: (802) 847-7911
Type: Location
123 Highland Ave
Glen Ridge, NJ 070281527
Phone: (973) 429-8800
Fax: (973) 748-7076
Type: Location
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 079222104
Phone: (908) 273-4300
Type: Mailing
215 STRATTON RD
RUTLAND, VT 057014621
Phone: (802) 773-3386
Type: Location
SPRINGFIELD MEDICAL CARE SYSTEM INC
25 RIDGEWOOD ROAD
SPRINGFIELD, VT 05156
Phone: (802) 885-2151
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: 2020-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200312001970 | I | Physician Assistant | VT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 59 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 05401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VT | |
| - | VT | |
| - | VT | |
| Family Practice | VT | |
| - | VT | |
| Internal Medicine, Obstetrics/Gynecology, Family Practice | VT | |
| - | VT | |
| Physician Assistant | VT | |
| - | VT | |
| Nurse Practitioner | VT |
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