SHAMSAH B SONAWALLA (M.D.) – Psychiatry Physician, NPI 1275570855
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,743 PSYCHIATRY in MA
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Provider Addresses for SHAMSAH B SONAWALLA (M.D.)
116, Clive Street, Clive Hills, Edison, Middlesex County, New Jersey, 08820, United States
EDISON, NJ 088203669
Phone: (617) 724-0279
Type: Mailing
15, Parkman Street, Fields Corner, Dorchester, Boston, Suffolk County, Massachusetts, 02122, United States
MASS. GENERAL HOSPITAL WAC 812
BOSTON, MA 021143117
Phone: (617) 724-0279
Type: Location
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: 2023-01-16
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230116000289 | I | Psychiatry | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 68 | 27 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 30 | 30 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 29 | 12 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 27 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 11 | $0 |
Insurance plans in this area (ZIP 08820)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MA | |
| Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| Anesthesiology, Pain Management | MA | |
| - | MA | |
| Clinical Psychologist | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| - | MA |
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