SONIA MAHAJAN (D.O.) – Student in an Organized Health Care Education/Training Program, NPI 1669748745

SONIA MAHAJAN (D.O.) is a healthcare provider. based in Wyandotte, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101019865 (MI). The NPI Number for SONIA MAHAJAN (D.O.) is 1669748745

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SONIA MAHAJAN (D.O.)
NPI
1669748745
Phone
Not provided
Address
2333 BIDDLE AVE
Enumeration Date
22 March 2012
Last Update Date
16 December 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9169735000
Graduation Year
2012 (14 years ago)
PAC ID
7113150350
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20161007001537
Address ID
CA958252115SA2025XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

3,166 EMERGENCY MEDICINE in MI

Provider Addresses for SONIA MAHAJAN (D.O.)

  • 2333 BIDDLE AVE

    WYANDOTTE, MI 481924668

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161007001537IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making3333$0
99285Emergency department visit with high level of medical decision making2019$0
View full utilization report →

Insurance plans in this area (ZIP 48192)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

How is SONIA MAHAJAN (D.O.) identified in CMS data?
CMS-hosted NPPES data lists SONIA MAHAJAN (D.O.) with NPI 1669748745.
Can I rely on SONIA MAHAJAN (D.O.) being an active provider?
As of the registry snapshot, SONIA MAHAJAN (D.O.) is marked active.
What is SONIA MAHAJAN (D.O.) best known for clinically?
Directory data describes SONIA MAHAJAN (D.O.) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What address line appears for SONIA MAHAJAN (D.O.)?
SONIA MAHAJAN (D.O.)'s geographic hint is Wyandotte, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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