Individual provider Active NPI

Sonya M. Mody, M.D.

  • Pediatrics Physician
  • Peoria, AZ
National Provider Identifier
1386837284
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0069055 Issued in MD
Practice address
9836 W Yearling Rd # F-1300
Peoria, AZ 85383-1376
Phone
(623) 328-8664
Fax
(623) 328-9432
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0069055 MD Primary

Addresses

Primary practice location

9836 W Yearling Rd # F-1300
Peoria, AZ 85383-1376

Mailing address

9836 W Yearling Rd # F-1300
Peoria, AZ 85383-1376
Phone (623) 328-8664

Other practice location 1

8232 W Cactus Rd Ste 123
Peoria, AZ 85381-5217
Phone (623) 328-8664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0069055MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Family Care PLLC Current Accepting new patients
Valley of the Sun Pediatrics, P.C. Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advance Pediatrics PastSince Oct 13, 2024 Accepting new patients

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1386837284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9836 W YEARLING RD # F-1300",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831376",
            "telephone_number": "623-328-8664",
            "fax_number": "623-328-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9836 W YEARLING RD # F-1300",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831376",
            "telephone_number": "623-328-8664",
            "fax_number": "623-328-9432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8232 W Cactus Rd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815217",
            "country_code": "US",
            "telephone_number": "623-328-8664",
            "fax_number": "623-328-9432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODY",
        "first_name": "SONYA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0069055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.