Active NPI
Sonia Mookherjea
- Physician Assistant
- Lone Tree, CO
National Provider Identifier
1457896128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004116
- Practice address
- 10455 Park Meadows Dr Unit 102
Lone Tree, CO 80124-5599 - Phone
- (303) 708-0246
- NPI assigned
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0004116 | CO | Primary |
Addresses
Primary practice location
10455 Park Meadows Dr Unit 102
Lone Tree, CO 80124-5599
Mailing address
10455 Park Meadows Dr Unit 102
Lone Tree, CO 80124-5599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 22, 2025 through Jul 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004116 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1457896128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10455 PARK MEADOWS DR UNIT 102",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10455 PARK MEADOWS DR UNIT 102",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245599",
"telephone_number": "303-708-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOKHERJEA",
"first_name": "SONIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.