Individual provider Active NPI

Sonya Wali, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chevy Chase, MD
National Provider Identifier
1144832932
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01818 Issued in MD
Practice address
4600 N Park Ave GN1
Chevy Chase, MD 20815-4518
Phone
(240) 641-8735
Fax
(240) 641-8740
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01818 MD Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301420 VA
Foot & Ankle Surgery Podiatrist 213ES0103X P050083043 DC

Addresses

Primary practice location

4600 N Park Ave GN1
Chevy Chase, MD 20815-4518

Mailing address

4600 N Park Ave GN1
Chevy Chase, MD 20815-4518

Other practice location 1

10301 Georgia Ave Ste 303
Silver Spring, MD 20902-5020
Phone (240) 641-8735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240207000473 VA Practitioner - Podiatry 8628411634 Reassigns benefits to 1 organization
I20260429000201 DC Practitioner - Podiatry 8628411634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sara Bouraee LLCGroup PAC ID 7719056076, 5 clinicians

Practice addresses (Care Compare)

1155 Professional Dr
Williamsburg, VA 23185-3329
Phone (757) 220-3311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of skin lesions12
Removal of nail tissue554
Removal or shaving of skin growth259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301420VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Bouraee, LLC Foot & Ankle Surgery CurrentSince Feb 1, 2024 Accepting new patients
Sara Bouraee, LLC Foot & Ankle Surgery CurrentSince Feb 1, 2024 Accepting new patients

Locations

2114 Hartford Rd
#A
Hampton, VA 23666
Phone (757) 220-3311

1155 Professional Dr
Williamsburg, VA 23185
Phone (757) 220-3311

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDFCD/Endpoint/CGDFCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1144832932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N PARK AVE GN1",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154518",
            "fax_number": "240-641-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N PARK AVE GN1",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154518",
            "telephone_number": "240-641-8735",
            "fax_number": "240-641-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Georgia Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209025020",
            "country_code": "US",
            "telephone_number": "240-641-8735",
            "fax_number": "240-641-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALI",
        "first_name": "SONYA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01818",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301420",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DC",
            "license": "P050083043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.