Sonia Nair, MD - Medicare Internal Medicine in Lexington, KY

Sonia Nair, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Lexington, Kentucky. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States,inc and her current practice location is 1221 S Broadway, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 258-4450.

Sonia Nair is licensed to practice in Kentucky (license number 38900) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306856570.

Contact Information

Sonia Nair, MD
1221 S Broadway,
Lexington, KY 40504-2701
(859) 258-4450
(859) 258-4039

Map and Direction




Physician's Profile

Full NameSonia Nair
GenderFemale
SpecialityInternal Medicine
Experience29 Years
Location1221 S Broadway, Lexington, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sonia Nair graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1306856570
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 11/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931134061
  • Enrollment ID: I20160218000171

Medical Identifiers

Medical identifiers for Sonia Nair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306856570NPI-NPPES
64107766MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 38900 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc37794958581673

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sonia Nair allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sonia Nair is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sonia Nair, MD
1221 S Broadway,
Lexington, KY 40504-2701

Ph: (859) 258-4450
Sonia Nair, MD
1221 S Broadway,
Lexington, KY 40504-2701

Ph: (859) 258-4450

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.