Individual provider Active NPI

Sonica Mahat, NP-C

  • Nurse Practitioner
  • Dumfries, VA
National Provider Identifier
1316432164
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024176240 Issued in VA
Practice address
16830 Dumfries Rd
Ste 160
Dumfries, VA 22025
Phone
(703) 523-1750
Fax
(844) 518-0708
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024176240 VA Primary

Addresses

Primary practice location

16830 Dumfries Rd
Ste 160
Dumfries, VA 22025

Mailing address

16830 Dumfries Rd
Ste 160
Dumfries, VA 22025
Phone (703) 523-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230719002553 ND Practitioner - Nurse Practitioner 5193185361 Reassigns benefits to 1 organization
I20240815003979 VA Practitioner - Nurse Practitioner 5193185361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

16830 Dumfries Rd
Suite 160
Dumfries, VA 22025-2056
Phone (703) 523-1750

Hospital & facility affiliations

  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024176240VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Alexius Medical Center CurrentSince Jun 6, 2023 Accepting new patients
St Alexius Medical Center CurrentSince Jun 6, 2023 Accepting new patients
Sentara Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Sanjeev Kohli, MD PC PastSince Feb 15, 2012 Accepting new patients
Commonwealth Sleep Center, LLC PastSince Jun 1, 2008 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

2111 Landmark Cir NW
Minot, ND 58703
Phone (701) 857-8031

16830 Dumfries Rd
Ste 160
Dumfries, VA 22025
Phone (703) 523-1750

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: sonica.mahat@bm.eclinicaldirectplus.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1316432164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16830 DUMFRIES RD",
            "address_2": "STE 160",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22025",
            "telephone_number": "703-523-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 DUMFRIES RD",
            "address_2": "STE 160",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22025",
            "telephone_number": "703-523-1750",
            "fax_number": "844-518-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAT",
        "first_name": "SONICA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.